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Can J Cardiol. 2013 Nov;29(11):1532.e11-3. doi: 10.1016/j.cjca.2013.03.022. Epub 2013 Jun 25.

Intracardiac echocardiogram-guided use of a Dormia basket to prevent major vegetation embolism during transvenous lead extraction.

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  • 1Cardiac Arrhythmia Research Centre, Centro Cardiologico Monzino IRCCS, Milan, Italy.


We discuss a case of transvenous lead extraction (TLE) in a patient with a large vegetation. To prevent embolization, a Dormia basket was placed in the pulmonary artery trunk. After uncomplicated TLE, the basket was withdrawn, and vegetation material was retrieved from it. Our experience confirms that TLE is feasible even with large vegetations, and the pulmonary circulation may be protected with a simple intravascular device.

Copyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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