Preventing Fatal Injury to the Superior Vena Cava

Gallagher, Mark; Akhtar, Zaki; Starck, Christoph

doi:10.1016/j.athoracsur.2021.10.019

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Percutaneous cardiopulmonary bypass is an alternative approach to achieving stability in patients with SVC laceration. 50,56 A femoral-femoral bypass circuit can be achieved quickly, within minutes of a SVC injuryprovided that femoral access has already been secured from the procedure onset; modern TLE procedures use the femoral vein routinely in a multi-access approach. 34,37,38 There are other advantages of this approach.…”

Section: Acute Management Of Complicationsmentioning

confidence: 99%

Transvenous Lead Extraction: Work in Progress

et al. 2023

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Cardiac implantable electronic devices are the cornerstone of cardiac rhythm management, with a significant number of implantations annually. A rising prevalence of cardiac implantable electronic devices coupled with widening indications for device removal has fuelled a demand for transvenous lead extraction (TLE). With advancement of tools and techniques, the safety and efficacy profile of TLE has significantly improved since its inception. Despite these advances, TLE continues to carry risk of significant complications, including a superior vena cava injury and mortality. However, innovative approaches to lead extraction, including the use of the jugular and femoral accesses, offers potential for further gains in safety and efficacy. In this review, the indications and risks of TLE are discussed while examining the evolution of this procedure from simple traction to advanced methodologies, which have contributed to a significant improvement in safety and efficacy.

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