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Anesth Analg 2003;97:654-656
© 2003 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Intraoperative Transesophageal Echocardiography in the Early Detection of Acute Tamponade After Laser Extraction of a Defibrillator Lead

Brian J. Swanton, MB FFARCSI*, David Keane, MD{dagger}, Gus J. Vlahakes, MD{ddagger}, and Scott C. Streckenbach, MD*

*Department of Anesthesia and Intensive Care, {dagger}Cardiology Division, and {ddagger}Department of Cardiac Surgery, Massachusetts General Hospital and Harvard Medical School, Boston

Address correspondence and reprint requests to Scott C. Streckenbach, Department of Anesthesia and Intensive Care, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114. Address e-mail to sstreckenbach{at}partners.org

Laser-assisted intracardiac lead extraction is associated with a 1%–2% incidence of pericardial tamponade. Because of this risk, many of these procedures are being performed in an operating room with a cardiac surgeon immediately available. Transesophageal echocardiography is a useful intraoperative monitor during these procedures.

IMPLICATIONS: Laser-assisted intracardiac lead extraction is associated with a 1%–2% incidence of pericardial tamponade. Because of this risk, many of these procedures are being performed in an operating room with a cardiac surgeon immediately available. Transesophageal echocardiography is a useful intraoperative monitor during these procedures.




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G. J. Crystal, A. A. Metwally, and M. R. Salem
Isoflurane preserves central nervous system blood flow during intraoperative cardiac tamponade in dogs: [L'isoflurane maintient le debit sanguin du systeme nerveux central pendant une tamponnade pericardique peroperatoire chez des chiens]
Can J Anesth, December 1, 2004; 51(10): 1011 - 1017.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2003 by the International Anesthesia Research Society.