Interventional Laser-assisted Extraction of an Infected Trapped Ventriculoatrial Shunt Based on Techniques for Pacemaker Lead Explantation.
We present a case of successful interventional laser-assisted extraction of an endovascularly trapped long-term implanted ventriculoatrial shunt in a patient with shunt-associated septicemia. This approach is based on modified techniques for explantation of pacemaker leads and might be considered an additional option for extraction of otherwise nonremovable trapped endovascular catheters in experienced centers.
Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany.
Dirk
D
Bastian
Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany.
Klaus
K
Fessele
Department of Cardiovascular Surgery, Bern University Hospital, Bern, Switzerland.
Piotr
P
Bednarski
Department of Cardiology and Electrophysiology, Paracelsus Medical University Nuremberg, Nürnberg, Germany.
Konrad
K
Göhl
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000601:surgery; D053685:Laser Therapy / Q000379:methods*; D010138:Pacemaker, Artificial; D018805:Sepsis / Q000209:etiology; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000601:surgery
D000900:Anti-Bacterial Agents