Laser Lead Extraction Complicated by Avulsed Tricuspid Subvalvular Apparatus with Severe Tricuspid Regurgitation.

The use of laser lead extraction (LLE) to remove pacemaker or implantable cardioverter-defibrillator leads has become increasingly prevalent. This advanced technique has been shown to be highly effective and safe. We report a rare case of severe traumatic tricuspid regurgitation after LLE that led to death.

Personalizing care in cardiogenic shock: Searching for a common hemodynamic language.

The increased availability and utilization of acute mechanical circulatory support use in cardiogenic shock has led to an increased need for multidisciplinary communication with specialized shock centers. The wide variability of hemodynamic data and local expertise raises a unique communication problem in capturing and documenting necessary information to guide decision making.