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CASE REPORT
Acute disseminated intravascular coagulation following ICD lead extraction
  1. Nasir Shariff1,
  2. Madhurmeet Singh1,
  3. Alaa Shalaby1,2
  1. 1Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  2. 2Department of Cardiology, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Alaa Shalaby, alaa.shalaby{at}va.gov

Summary

We present an unusual case of disseminated intravascular coagulopathy (DIC) complicating percutaneous laser-assisted lead extraction. DIC has not been previously reported in association with lead extraction. It is possible to have occurred following the denudement of venous endothelium and exposure of underlying fibrous tissue. Practitioners need to be aware of this rare but potentially fatal complication of transvenous lead extraction.

https://doi.org/10.1136/bcr-2013-203011

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