Mar 14, 2013

Utility and safety of temporary pacing using active fixation leads and externalized re-usable permanent pacemakers after lead extraction

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
Hiro KawataUlrika M Birgersdotter-Green

Abstract

After extraction of an infected cardiac implantable electronic device (CIED) in a pacemaker-dependent patient, a temporary pacemaker wire may be required for long periods during antibiotic treatment. Loss of capture and under sensing are commonly observed over time with temporary pacemaker wires, and patient mobility is restricted. The use of an externalized permanent active-fixation pacemaker lead connected to a permanent pacemaker generator for temporary pacing may be beneficial because of improved lead stability, and greater patient mobility and comfort. The aim of this study was to investigate the efficacy and safety of a temporary permanent pacemaker (TPPM) system in patients undergoing transvenous lead extraction due to CIED infection. Of 47 patients who underwent lead extraction due to CIED infection over a 2-year period at our centre, 23 were pacemaker dependent and underwent TPPM implantation. A permanent pacemaker lead was implanted in the right ventricle via the internal jugular vein and connected to a TPPM generator, which was secured externally at the base of the neck. The TPPM was used for a mean of 19.4 ± 11.9 days (median 18 days, range 3-45 days), without loss of capture or sensing failure in any patient. Twelv...Continue Reading

  • References10
  • Citations15

References

  • References10
  • Citations15

Citations

Mentioned in this Paper

Nystagmus
Implantable Stimulation Electrodes
Internal Jugular Vein Structure
Right Ventricular Structure
Sample Fixation
Blastocyst Implantation, Natural
Safety of Devices
Prosthesis-Related Infection
Entire Right Ventricle
Artificial Cardiac Pacemaker

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