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Minimally invasive removal of infected pacemaker lead

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Abstract

A 37-year-old woman with sick sinus syndrome suffered complications with recurring local infection at the generator pocket Repeated debridement and antibiotic therapy was ineffective. Several attempts to remove leads via the implantation vein by direct traction were unsuccessful. We operated using cardiopulmonary bypass and applied a minimally invasive lower ministernotomy to obtain pleasing cosmetic results. After a right atriotomy, leads were removed. The minimally invasive approach gave satisfactory results, especially cosmetically.

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References

  1. Robboy SJ, Harthorne JW, Leinbach RC, Sanders CA, Austen WG. Autopsy findings with permanent pervenous pacemakers. Circulation 1969; 39: 495–501.

    PubMed  CAS  Google Scholar 

  2. Vogt PR, Sagdic K, Lachat M, Candinas R, von Segesser LK, Turina MI. Surgical management of infected permanent trans venous pacemake systems: ten-year experience. J Card Surg 1996; 11: 180–6.

    Article  PubMed  CAS  Google Scholar 

  3. Cohn LH, Adams DH, Couper GS, Bichell DP, Rosborough DM, Sears SP, et al. Minimally invasive cardiac valve surgery improves patient satisfaction while reducing costs of cardiac valve replacement and repair. Ann Surg 1997; 226: 421–8.

    Article  PubMed  CAS  Google Scholar 

  4. Byrd CL, Schwartz SJ, Hedin N. Intravascular techniques for extraction of permanent pacemaker leads. J Thorac Cardiovasc Surg 1991; 101: 989–997.

    PubMed  CAS  Google Scholar 

  5. Hasegawa S, Morimoto T, Matsuyama N, Okamoto J, Sawada Y, Kondo K, et al. Removal of the endocardial pacemaker leads: experience with 16 leads in 10 patients. Jpn J Thorac Cardiovasc Surg 1998; 46: 421–7.

    Article  PubMed  CAS  Google Scholar 

  6. Matsuda H, Sawa Y, Takahashi T, Hirata N, Ohtake S. Minimally invasive cardiac surgery: current status and perspective. Artific Org 1998; 22: 759–764.

    Article  CAS  Google Scholar 

  7. Matsuda H, Ohtake S, Sawa Y, Takahashi T, Hirata N, Sakaguchi T. Minimally invasive cardiac surgery for patients with mitral valve diseases: initial experience using parasternal approach. Asian J Surg 1999; 22: 3–8.

    Google Scholar 

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Authors and Affiliations

  1. First Department of Surgery, Osaka University Medical School, Osaka, Japan

    Nobuaki Hirata, Shigeaki Ohtake, Yoshiki Sawa, Akira Amemiya, Shinji Asada & Hikaru Matsuda

Authors
  1. Nobuaki Hirata
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  2. Shigeaki Ohtake
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  3. Yoshiki Sawa
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  4. Akira Amemiya
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  5. Shinji Asada
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  6. Hikaru Matsuda
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Hirata, N., Ohtake, S., Sawa, Y. et al. Minimally invasive removal of infected pacemaker lead. Jpn J Thorac Caridovasc Surg 48, 534–535 (2000). https://doi.org/10.1007/BF03218194

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  • DOI: https://doi.org/10.1007/BF03218194

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