THE NEW APPROACH OF PERMANENT ENDOCARDIAL LEAD EXTRACTION
https://doi.org/10.21886/2219-8075-2013-3-48-51
Abstract
Purpose: to explore results of chronically implanted endocardial pacemaker leads extraction with extracorporeal circulation and using sternotomy pump off approach.
Methods: bacteriological analysis and electronical microscopy of deimplanted pacing leads were estimated. The short-distance outcomes of surgical treatment are analyzed too.
Results: 26 patients were operated and 59 leads extracted. The vast majority of infectious agents were presented by Streptococcus viridians and Staphylococcus epidermidis. One patient had early postoperative bleeding. Another case was complicated by relapse of infection. There wasn’t mortality observed.
Conclusion: the pump off approach of extracorporeal circulation is a safe and effective method for endocardial pacemaker leads extraction.
About the Authors
A. A. Duzhikov
Rostov Regional Clinical Hospital
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
G. V. Chudinov
Rostov Regional Clinical Hospital
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
A. V. Ponomarev
Emergency Care Hospital №2
Russian Federation
88/35 Bodraya st., Rostov-on-Don, 344092
Russian Federation
88/35 Bodraya st., Rostov-on-Don, 344092
V. V. Korshunov
Rostov Regional Clinical Hospital
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
A. S. Dodonov
Rostov Regional Clinical Hospital
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
Russian Federation
170 Blagodatnaya str., Rostov-on-Don, 344011
References
1. Path to growth. Cardiac Lead Removal System. Spectranetics annual report 2004. – Colorado Springs, 2005.
2. Ревишвили А.Ш.. Quality standards of devices therapy. Surgical complications // Europace-2005.-Abstr. 667.-Prague., 2005.
3. Sonnhag C.,Walfridsson H. Extraction of cronically infected pacemaker leads: two cases with serious complications // PACE.- 1989. - Vol.12.-P.1204.
4. Резник И.И., Идов Э.М., Михайлов А.В. и др. Лечебная тактика при инфекционном эндокардите: хирургические аспекты // Грудная и сердечно-сосудистая хирургия.-2002.-№3.-С.15-22.
5. Byrd C.L. Management of implant complications. In Clinical Cardiac Pacing and Defibrillation / Eds.EllenbogenК.A., Wilkoff B.L. et al. – Philadelphia, 2000.
6. Love C.J., WilkoffB.L., Byrd C.L. et al. Recommendations for extraction of chronically implanted transvenous pacing and defibrillator leads: indications, facilities, training. North American Society of Pacing and Electrophysiology Lead Extraction Conference Faculty//Pacing Clin.Electrophysiol. -2000.-Vol.23.-P.544-551.
Review
For citations:
Duzhikov A.A., Chudinov G.V., Ponomarev A.V., Korshunov V.V., Dodonov A.S. THE NEW APPROACH OF PERMANENT ENDOCARDIAL LEAD EXTRACTION. Medical Herald of the South of Russia. 2013;(3):48-51. (In Russ.) https://doi.org/10.21886/2219-8075-2013-3-48-51
Views:
372
Email this article 