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Laser Extraction of a Trapped Infected Port Catheter in a Child Using Existing Experience from Pacemaker and ICD Lead Removal
Authors:DIRK BASTIAN MD  KLAUS FESSELE MD  PIOTR BEDNARSKI MD  KARL BODENSCHATZ MD  MATTHIAS PAUSCHINGER MD  KONRAD GÖHL MD
Institution:1. Divisions of Cardiology;2. Cardiosurgery;3. Pediatric Surgery, Klinikum Nürnberg, Nürnberg, Germany
Abstract:A 9‐year‐old girl presented with systemic infection related to a Port‐a‐Cath system (PAC); therefore, the urgent removal of the PAC was indicated. However, the catheter was trapped and not extractable by conventional means. Using existing comprehensive experience in the removal of pacemaker and implantable cardioverter defibrillator leads, the entrapped PAC was successfully extracted by laser technique, thus avoiding open heart surgery. (PACE 2011; e9–e10)
Keywords:lead extraction  explantation  port catheter  laser  infection
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