title: Removal of Retained Pacing Leads With Vena Caval Inflow Occlusion When Cardiopulmonary Bypass Is Contraindicated.
abstract: Treatment of infected pacing leads ranges from percutaneous extraction to surgical removal with the use of cardiopulmonary bypass (CPB). Vena caval inflow occlusion (VCIO) is an old technique that has been used with success in the pediatric population. We report on the use of inflow occlusion (IO) in removing infected pacing leads from the right side of the heart in patients in whom endovascular lead extraction failed. VCIO is a safe and simple technique in patients with infected leads who have contraindications for CPB.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, Illinois. Electronic address: jairaman2462@gmail.com.
authors.forename: Jaishankar
authors.initials: J
authors.lastname: Raman
authors.affiliation: Rush University Medical Center, Chicago, Illinois.
authors.forename: Deepa
authors.initials: D
authors.lastname: Bhat
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Asad
authors.initials: A
authors.lastname: Torabi
authors.affiliation: Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois.
authors.forename: Richard
authors.initials: R
authors.lastname: Trohman
mesh_terms: D002315:Cardiopulmonary Bypass; D003250:Constriction; D000075202:Contraindications; D020878:Device Removal / Q000379:methods*; D004567:Electrodes, Implanted; D006801:Humans; D010138:Pacemaker, Artificial; D060205:Therapeutic Occlusion / Q000379:methods*; D014682:Vena Cava, Inferior / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*