Pacemaker leads: special and surgical aspects

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Pacemaker leads and cardiac perforation

This case series highlights the rare but potentially life threatening complication of ventricular perforation caused by pacemaker leads and discusses appropriate investigations and management strategies.

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ECG monitoring leads and special leads

ECG monitoring is common place in the hospital and even pre-hospital setting. The need for different types of lead systems in different settings has been emphasised. Simple three electrode bipolar recording is ubiquitous for monitoring. This can be used to record modified bipolar chest leads as well. Using five leads gives the option of getting a chest lead in addition to bipolar limb leads, en...

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[Percutaneous extraction of pacemaker and defibrillator leads].

INTRODUCTION AND OBJECTIVES There is an increasing need for endocardial pacing and defibrillators leads to be removed. However, the procedure can be complex and it is not risk-free. We reviewed our experience between April 1989 and June 2006 with the percutaneous extraction of leads. METHODS In total, 314 electrodes were extracted from 187 patients. The leads had been implanted over an averag...

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Removal of pacemaker leads in extracorporeal circulation

Results Overall, 6 leads were removed from 4 patients. The commonest indication for extraction was infection (endocarditis) in three patients (75 %). The other patient was operated because of massive thrombus on the leads. Removal was complete and safe for all the patients. All the patients received epicardial lead with pacemaker pocket located in the rectus abdominis muscle. The postoperative ...

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Right heart perforation by pacemaker leads

Cardiac pacing is a proven therapy of cardiac conduction disturbances and an effective treatment modality in many cardiac arrhythmias. Implantable cardiac defibrillators (ICDs) are particularly beneficial for selected groups of patients with a history of severe ventricular arrhythmias or at a high risk of sudden cardiac death. Despite their potential lifesaving properties, both pacemakers and I...

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ژورنال

عنوان ژورنال: Herzschrittmachertherapie + Elektrophysiologie

سال: 2001

ISSN: 0938-7412,1435-1544

DOI: 10.1007/s003990170001