Removal of Infected Dual Chambered Transvenous Pacemaker and Implantation of a New Epicardial Dual Chambered Device with Cardiopulmonary Bypass: Experience with Seven Cases
| Autor: | J. L. Manzano, Cipriano Abad, Juan J. Manzano, José Bolaños, Jose Quintana |
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| Rok vydání: | 1995 |
| Předmět: |
Male
Pacemaker Artificial medicine.medical_specialty Time Factors Surgical sterilization Staphylococcal infections law.invention law Staphylococcus epidermidis medicine Cardiopulmonary bypass Humans Localized infection Retrospective Studies Cardiopulmonary Bypass biology business.industry Follow up studies Mean age Equipment Design General Medicine Middle Aged Staphylococcal Infections medicine.disease biology.organism_classification Electrodes Implanted Surgery Direct vision Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Pacing and Clinical Electrophysiology. 18:1272-1275 |
| ISSN: | 1540-8159 0147-8389 |
| Popis: | Seven patients with infected transvenous dual chambered pacemakers have undergone removal of the device using cardiopulmonary bypass. There were four women and three men with a mean age of 58 years. Six patients had localized infection in the generator pocket (mean of 4.6 previous unsuccessful operations for surgical sterilization). Four infections were due to Staphylococcus epidermidis, two to Staphylococcus aureus, and one patient presented septicemia caused by Staphylococcus epidermidis and Pseudomonas aeruginosa. The atrial and ventricular transvenous electrodes were removed under direct vision using cardiopulmonary bypass. A new dual chambered epicardial pacemaker was implanted. The procedure was well-tolerated, and all patients are infection free with working pacemakers after a mean follow-up of 25.4 months. |
| Databáze: | OpenAIRE |
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