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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, Gus J. Vlahakes, MD, and Scott C. Streckenbach, MD^*

*Department of Anesthesia and Intensive Care, Cardiology Division, and 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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