Pacemaker endocarditis: approach for lead extraction in endocarditis with large vegetations
| Autor: | Daniel Navia, Francisco Nacinovich, Eliseo Segura, Fernando Piccinini, Guillermo Vaccarino, Hector Mazzetti |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Ventricular lead Combined technique law.invention law Internal medicine medicine Cardiopulmonary bypass Humans Endocarditis Device Removal business.industry Endocarditis Bacterial General Medicine Middle Aged medicine.disease Surgery Transvenous lead Embolism Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Vegetation (pathology) Lead extraction |
| Zdroj: | Revista Brasileira de Cirurgia Cardiovascular. 24:570-573 |
| ISSN: | 0102-7638 |
| Popis: | The presence of large lead vegetations poses additional difficulties for explantation because many methods cannot be used due to the potential hazard of embolism. We report two patients with large vegetation on the ventricular lead due to endocarditis and one of them with an atrial septal defect associated. It was applied a combined technique of transvenous lead removal and sternotomy with cardiopulmonary bypass for the complete removal of pacemaker wires. This procedure resolved the pacemakers endocarditis safely and subsequently a new transvenous device was placed on the opposite site. |
| Databáze: | OpenAIRE |
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