Disseminated intravascular coagulation as a complication after transvenous lead extraction for defibrillator-associated endocarditis: A case report

Dunn, Heather; Foreman, Blair

doi:10.1016/j.hrcr.2022.02.001

Cited by 2 publications

(5 citation statements)

References 17 publications

(30 reference statements)

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Section: Reviewmentioning

confidence: 99%

“…Only a single case of disseminated intravascular coagulopathy (DIC) being a complication of CIED lead extraction has been documented [ 30 ]. It has been noted that the primary causes of DIC, in this case, include surgery itself, infection, and especially sepsis [ 30 ]. An inflammatory response to infection and sepsis known as DIC causes the immune system to become activated, producing cytokines and chemokines and activating the coagulation cascade, which ultimately results in organ failure [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

“…It has been noted that the primary causes of DIC, in this case, include surgery itself, infection, and especially sepsis [ 30 ]. An inflammatory response to infection and sepsis known as DIC causes the immune system to become activated, producing cytokines and chemokines and activating the coagulation cascade, which ultimately results in organ failure [ 30 ]. In the case of uncontrolled bleeding post CIED extraction, you should suspect DIC especially when multiple sites are oozing blood [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

“…An inflammatory response to infection and sepsis known as DIC causes the immune system to become activated, producing cytokines and chemokines and activating the coagulation cascade, which ultimately results in organ failure [ 30 ]. In the case of uncontrolled bleeding post CIED extraction, you should suspect DIC especially when multiple sites are oozing blood [ 30 ]. Early diagnosis and treatment with packed red blood cells, fresh frozen plasma, platelets, and cryoprecipitate will decrease mortality and morbidity [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

“…In the case of uncontrolled bleeding post CIED extraction, you should suspect DIC especially when multiple sites are oozing blood [ 30 ]. Early diagnosis and treatment with packed red blood cells, fresh frozen plasma, platelets, and cryoprecipitate will decrease mortality and morbidity [ 30 ].…”

Section: Reviewmentioning

confidence: 99%

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Discussing the Prognosis and Complications of Transvenous Lead Extraction in Patients With Cardiac Implantable Electronic Devices (CIED): A Systematic Review

Salib,

Dardari,

Taha

et al. 2023

Cureus

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An increase in cardiovascular implantable electronic devices (CIEDs) and undoubtedly the complications brought on by these devices coincide with an increase in cardiovascular disorders, particularly heart rhythm abnormalities. The safest procedure to extract these devices is transvenous lead extraction (TLE). Thus, this systematic review aimed to summarize the possibility of success rates and the common complications that could arise during the surgery. Full-text publications in PubMed, MEDLINE, PubMed Central (PMC), and ScienceDirect were used in this study, which was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Seventeen studies were reviewed for this systematic review after being screened by title, abstract, full-text availability, and quality appraisal assessment. Heart and vascular tears, along with tricuspid regurgitation (TR), are common adverse events. Pulmonary embolism, hemothorax, hemopericardium, and ghost appearance in echo are less common consequences. In addition, the longer the dwelling time of the leads, the greater the chance of infection due to an increase in lead adhesions and fibrous tissue that has made the procedure unsafe as time passes. However, we concluded that TLE is a successful method across all age groups with an excellent probability of clinical and procedural success in a majority of studies.

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Section: Reviewmentioning

confidence: 99%