[Successful removal of infected pacemaker leads under extracorporeal circulation in three cases].
نویسندگان
چکیده
We report three cases suffering from endocarditis caused by pacemaker lead infection. Because of the long interval beginning from implantation to surgical removal and the large vegetations on the leads, the entire pacemaker system was removed under extracorporeal circulation (ECC). Postoperative courses were uneventful and none of these patients have shown recurrent infection to date. The total removal of the pacemaker system using ECC support seems a safe and reliable procedure, provided that careful perioperative management is carried out.
منابع مشابه
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 ...
متن کاملThe Improvement of the Atrial Flutter Rhythm upon the Removal of the Infected Permanent Pacemaker Lead
Pacemaker infection has multiple risk factors. Its presentation is most often similar to infected endocarditis and the diagnosis is made through studying blood cultures. Transesophageal echocardiography can confirm the diagnosis. The most common microorganisms are staphylococcus speciesis. As a matter of fact, complete pacemaker removal appears to be the only definite treatment. We presented a ...
متن کاملTracheal Chondrosarcoma Excised With Extracorporeal Circulation
Introduction: Tracheal chondrosarcoma (TCS) is a rare malignancy, with only 19 cases described in the literature to date. Case presentation: Herein, we presented the third-largest TCS with such an airway compromise that neither orotracheal intubation nor jet ventilation or even tracheostomy was possible. So, extracorporeal circulation was needed to excise the tumor in a one-stage procedure. Th...
متن کاملLead extraction in children and young adults using different techniques.
OBJECTIVE To describe our experience with removal of pacing lead in children using different techniques. PATIENTS AND METHODS Between 1999 and 2006, removal of 39 leads was attempted in 30 patients: 21 males and 9 females aged 4-21 years (mean 12 +/- 5 years). Sixteen patients had previous corrective cardiac surgery. The leads had been implanted for 46 +/- 31 months (range 1-120 months). The ...
متن کاملThe successful removal of a tumour from the right atrium under hypothermia.
Primary tumours of the heart are rare, and most of those reported in the literature have been histopathological observations from the postmortem table. It is to be expected that in future cardiac tumours will be diagnosed more frequently during the patient's life and before operation, thanks to diagnostic improvements in cardiology and radiography. It is equally to be expected that the number o...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Fukuoka igaku zasshi = Hukuoka acta medica
دوره 98 8 شماره
صفحات -
تاریخ انتشار 2007