title: Value of a Joint Cardiac Surgery-Cardiac Electrophysiology Approach to Lead Extraction.
abstract: We report three cases of vascular injury during laser lead extractions, requiring urgent surgical correction. Immediate sternotomy and cardiopulmonary bypass were possible because of an institutional collaboration where cardiac surgeon and cardiac electrophysiologist jointly perform these cases, and all patients survived. We propose this joint approach is ultimately the best option for patients undergoing lead extraction.
authors.affiliation: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Breno
authors.initials: B
authors.lastname: Bernardes de Souza
authors.affiliation: UCLA Division of Cardiac Surgery, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Peyman
authors.initials: P
authors.lastname: Benharash
authors.affiliation: UCLA Division of Cardiac Surgery, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Fardad
authors.initials: F
authors.lastname: Esmailian
authors.affiliation: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Jason
authors.initials: J
authors.lastname: Bradfield
authors.affiliation: UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, Los Angeles, California.
authors.forename: Noel G
authors.initials: NG
authors.lastname: Boyle
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D054849:Cardiac Electrophysiology; D002315:Cardiopulmonary Bypass; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D003299:Cooperative Behavior; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D020878:Device Removal / Q000009:adverse effects* / Q000379:methods*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004630:Emergencies; D005260:Female; D006325:Heart Atria / Q000293:injuries / Q000601:surgery; D006801:Humans; D007834:Lasers / Q000009:adverse effects*; D008297:Male; D016343:Monitoring, Intraoperative; D010348:Patient Care Team; D010820:Physicians; D056346:Sternotomy; D066231:Surgeons; D013903:Thoracic Surgery; D016896:Treatment Outcome; D014683:Vena Cava, Superior / Q000293:injuries* / Q000601:surgery*