Intraoperative transesophageal echocardiography in the early detection of acute tamponade after laser extraction of a defibrillator lead.
Laser-assisted intracardiac lead extraction is associated with a 1%-2% incidence of pericardial tamponade. Because of this risk, many of these procedures are being performed in an operating room with a cardiac surgeon immediately available. Transesophageal echocardiography is a useful intraoperative monitor during these procedures.
Swanton
Brian J
BJ
*Department of Anesthesia and Intensive Care, †Cardiology Division, and ‡Department of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston.
Keane
David
D
Vlahakes
Gus J
GJ
Streckenbach
Scott C
SC
D000208:Acute Disease; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging*; D020878:Device Removal; D004322:Drainage; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging*; D053685:Laser Therapy; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010138:Pacemaker, Artificial