PMID: 9436559Jan 22, 1998Paper

Cardiac pacemaker infection: surgical management with and without extracorporeal circulation

The Annals of Thoracic Surgery
M J WilhelmH H Scheld

Abstract

Pacemaker infections are rare, but serious complications of pacemaker therapy. The generator pocket, the pacing leads, or both may be involved. We report on 12 patients with infected pacemaker systems. Four patients suffered from localized generator pocket infections, 6 had infected leads, and 2 patients had both. Pacemaker systems were completely removed in all patients. When the infection was limited to the generator pocket, the pacemaker system was removed at the original implantation site. Extracorporeal circulation was employed for the explantation of infected pacing leads. No complications occurred in patients with localized generator pocket infections. One patient with infected leads who was preoperatively already in a serious clinical condition died of septic shock in the early postoperative period; another patient died of pulmonary complications after tricuspid valve replacement 14 months after pacemaker explantation. No recurrent infections were observed. Explantation of the complete pacemaker system has proved a reliable method to eradicate infection. Complications have been rare, except in patients in a critically ill state who undergo cardiopulmonary bypass.

References

Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·N E FearnotT D Sellers
Aug 1, 1991·Pacing and Clinical Electrophysiology : PACE·G ParryR G Gold
Apr 1, 1991·British Heart Journal·G Van Camp, J L Vandenbossche
Aug 1, 1985·The Thoracic and Cardiovascular Surgeon·A HarjulaS Mattila
Nov 1, 1986·Pacing and Clinical Electrophysiology : PACE·L N HurstG J Klein
Nov 1, 1986·Pacing and Clinical Electrophysiology : PACE·B S Goldman
Dec 1, 1993·Pacing and Clinical Electrophysiology : PACE·R FrameJ N Gross
Feb 1, 1993·Pacing and Clinical Electrophysiology : PACE·U NiederhäuserM Turina
Nov 1, 1994·Pacing and Clinical Electrophysiology : PACE·H J SmithT D Sellers
Nov 1, 1994·Pacing and Clinical Electrophysiology : PACE·P P KarpawichM Factkor
Jan 1, 1993·Chest·H A WilsonE F Haponik

❮ Previous
Next ❯

Citations

Apr 15, 2006·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Takahiko AoyamaYoshihisa Nagata
Apr 5, 2005·Der Internist·W Zimmerli
Feb 14, 2009·Herzschrittmachertherapie & Elektrophysiologie·Christian G WollmannRainer Gradaus
Oct 20, 2005·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Hiroomi MurayamaAtsukata Kobayashi
Jan 22, 2013·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Masaho OkadaYuichi Ueda
Apr 6, 2000·The Annals of Thoracic Surgery·D E AllieC M Walker
Sep 29, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R O Darouiche
Mar 9, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maria Grazia BongiorniFrancesco Menichetti
Dec 22, 1999·Pacing and Clinical Electrophysiology : PACE·J J ChuP P Tan
Apr 16, 2004·Clinical Microbiology Reviews·Erna M Kojic, Rabih O Darouiche
Feb 12, 2013·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Hong Kuan KokOrla Buckley
Jan 28, 2010·The Annals of Thoracic Surgery·Alexander Rusanov, Henry M Spotnitz
Nov 23, 2015·International Journal of Cardiology·Umar A R ChaudhryThanos Athanasiou
Jan 5, 2007·Pacing and Clinical Electrophysiology : PACE·Sydney L GaynorMarc R Moon
May 8, 2007·Journal of the American College of Cardiology·Muhammad R SohailLarry M Baddour
Dec 6, 2014·Advanced Healthcare Materials·Geon-Tae HwangKeon Jae Lee
Sep 25, 2018·Expert Review of Medical Devices·Christoph T StarckVolkmar Falk
Mar 13, 2019·Advanced Healthcare Materials·Lina ZhangFeng Shi
Aug 9, 2006·Journal of Biomaterials Science. Polymer Edition·Alvaro Antonio Alencar de QueirozJulio San Román
Jun 30, 2021·Nature Biotechnology·Yeon Sik ChoiJohn A Rogers
Nov 26, 2008·Progress in Cardiovascular Diseases·Mark V Sherrid, James P Daubert

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.