Extracción de electrodos de dispositivos cardíacos abandonados: desatando el nudo Gordiano, o extrayéndolo.

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Title: Extracción de electrodos de dispositivos cardíacos abandonados: desatando el nudo Gordiano, o extrayéndolo.
Alternate Title: Removal of abandoned wire leads from a cardiac device: untying or extracting the Gordian knot.
Authors: de la Cruz, Yoandy López1 yoandylc@infomed.sld.cu, Quintero Fleites, Yolepsis F.1, Nápoles Lizano, Mario E.2, del Sol Berriel, Rolando1, Machado Rodríguez, Lisset C.3, Pérez Machado, Laura B.4
Source: CorSalud. oct-dic2016, Vol. 8 Issue 4, p259-264. 6p.
Abstract (English): Wire leads are considered the weakest link of intracardiac devices. The removal of those which were chronically implanted is always a difficult procedure. Such procedure is performed with a near to 100% effectiveness in centers having devices for percutaneous extraction, but when there is no such technology, surgery -minor one or open heart with extracorporeal circulation- is often performed by the cardiovascular surgeon, who has to assume the leading role because of the risk of injury to cardiac structures. A patient with abandoned pacemaker leads is presented. The passage of the wire leads through the subaponeurotic space of the right hemithorax produced discomfort for years, and certain deformities of the chest wall, without the chance of being withdrawn in spite of multiple attempts. The particularities of this case outline the importance of not underestimating these kinds of surgeries, and performing adequate preoperative studies that allow the properly planning of surgical procedure. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Los electrodos son considerados el eslabón más débil de los dispositivos intracardíacos. La extracción de los crónicamente implantados constituye siempre un procedimiento dificultoso. En centros que cuentan con dispositivos para su extracción percutánea, el procedimiento se realiza con una efectividad cercana al 100 %, pero cuando no existe esa tecnología, la cirugía -menor o a corazón abierto con circulación extracorpórea- es muchas veces realizada por el cirujano cardiovascular, quien tiene que asumir el protagonismo por el riesgo de lesión de estructuras cardíacas. Se presenta un paciente con electrodos de marcapaso abandonados, cuyo trayecto por un espacio subaponeurótico del hemitórax derecho produjo, durante años, malestar y ciertas deformidades de la pared torácica, sin que se pudieran retirar después de múltiples intentos. Las particularidades de este caso delinean la importancia de no subestimar estas cirugías y realizar adecuados estudios preoperatorios que permitan planificar convenientemente el procedimiento quirúrgico. [ABSTRACT FROM AUTHOR]
Copyright of CorSalud is the property of Cardiocentro Ernesto Che Guevara and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Extracción de electrodos de dispositivos cardíacos abandonados: desatando el nudo Gordiano, o extrayéndolo.
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  Label: Alternate Title
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  Data: Removal of abandoned wire leads from a cardiac device: untying or extracting the Gordian knot.
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  Data: <searchLink fieldCode="AR" term="%22de+la+Cruz%2C+Yoandy+López%22">de la Cruz, Yoandy López</searchLink><relatesTo>1</relatesTo><i> yoandylc@infomed.sld.cu</i><br /><searchLink fieldCode="AR" term="%22Quintero+Fleites%2C+Yolepsis+F%2E%22">Quintero Fleites, Yolepsis F.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Nápoles+Lizano%2C+Mario+E%2E%22">Nápoles Lizano, Mario E.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22del+Sol+Berriel%2C+Rolando%22">del Sol Berriel, Rolando</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Machado+Rodríguez%2C+Lisset+C%2E%22">Machado Rodríguez, Lisset C.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Pérez+Machado%2C+Laura+B%2E%22">Pérez Machado, Laura B.</searchLink><relatesTo>4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22CorSalud%22">CorSalud</searchLink>. oct-dic2016, Vol. 8 Issue 4, p259-264. 6p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Wire leads are considered the weakest link of intracardiac devices. The removal of those which were chronically implanted is always a difficult procedure. Such procedure is performed with a near to 100% effectiveness in centers having devices for percutaneous extraction, but when there is no such technology, surgery -minor one or open heart with extracorporeal circulation- is often performed by the cardiovascular surgeon, who has to assume the leading role because of the risk of injury to cardiac structures. A patient with abandoned pacemaker leads is presented. The passage of the wire leads through the subaponeurotic space of the right hemithorax produced discomfort for years, and certain deformities of the chest wall, without the chance of being withdrawn in spite of multiple attempts. The particularities of this case outline the importance of not underestimating these kinds of surgeries, and performing adequate preoperative studies that allow the properly planning of surgical procedure. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Los electrodos son considerados el eslabón más débil de los dispositivos intracardíacos. La extracción de los crónicamente implantados constituye siempre un procedimiento dificultoso. En centros que cuentan con dispositivos para su extracción percutánea, el procedimiento se realiza con una efectividad cercana al 100 %, pero cuando no existe esa tecnología, la cirugía -menor o a corazón abierto con circulación extracorpórea- es muchas veces realizada por el cirujano cardiovascular, quien tiene que asumir el protagonismo por el riesgo de lesión de estructuras cardíacas. Se presenta un paciente con electrodos de marcapaso abandonados, cuyo trayecto por un espacio subaponeurótico del hemitórax derecho produjo, durante años, malestar y ciertas deformidades de la pared torácica, sin que se pudieran retirar después de múltiples intentos. Las particularidades de este caso delinean la importancia de no subestimar estas cirugías y realizar adecuados estudios preoperatorios que permitan planificar convenientemente el procedimiento quirúrgico. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of CorSalud is the property of Cardiocentro Ernesto Che Guevara and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: oct-dic2016
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