Abstract
4/2010
vol. 7
KARDIOCHIRURGIA DOROSŁYCH
Treatment of permanent pacing infective complications in the reference centre. Necessary cooperation
of the cardiologist and cardiac surgeon
Kardiochirurgia i Torakochirurgia Polska 2010; 7 (4): 376–382
Online publish date: 2011/01/03
Some technical and organisational aspects of removal of infected pacemaker systems are presented in the experience of the reference centre for management of electrotherapy complications. The cardiac surgeon’s role has evolved from single-person whole system extractor, to an important
member of an interdisciplinary team for less invasive comprehensive treatment of complications. The present-day main role of the cardiac surgeon is readiness to prevent disaster caused by percutaneous lead extraction complications. In rare, precisely defined cases of lead extraction scheduled for open-chest surgery, the operation should be preceded by coronarography (excluding young patients) and removal of pacemaker, liberation of proximal part of leads and introduction of pocket suction drainage on the day before and outside the operating suite.
member of an interdisciplinary team for less invasive comprehensive treatment of complications. The present-day main role of the cardiac surgeon is readiness to prevent disaster caused by percutaneous lead extraction complications. In rare, precisely defined cases of lead extraction scheduled for open-chest surgery, the operation should be preceded by coronarography (excluding young patients) and removal of pacemaker, liberation of proximal part of leads and introduction of pocket suction drainage on the day before and outside the operating suite.
Keywords
lead-dependent infective endocarditis, extraction of infected leads, open-chest lead extraction
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