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  • Poster presentation
  • Open Access

Removal of pacemaker leads in extracorporeal circulation

  • 1Email author,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
Journal of Cardiothoracic Surgery20138(Suppl 1):P155

https://doi.org/10.1186/1749-8090-8-S1-P155

Published: 11 September 2013

Keywords

  • Antibiotic Therapy
  • Endocarditis
  • Open Technique
  • Infected Patient
  • Common Indication

Background

The value of extraction of infected or hazardous endocardial pacemakers leads is well established. This review describes our experience with safe and open technique.

Methods

We reviewed our registry in a period of 20 years (1992 – 2012). We found four patients with pacemaker leads removal in median sternotomy and 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 period was free of complications in all the patients.

Conclusions

Pacemaker infections generally respond to antibiotics and complete hardware removal. However, these principles cannot always be invoked, and the risk of complications is likely to increase when hardware cannot be completely removed. Open lead extraction is an aggressive but safe technique in cases of infected patients with endocarditis unresponsive to antibiotic therapy.

Authors’ Affiliations

(1)
Cardiovascular Surgery Department, University Hospital Centre “Mother Theresa”, Tirana, Albania

Copyright

© Likaj et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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