April 11, 2005European Journal of Cardio-Thoracic Surgery
Pacemaker dependent patients with device infection—a modified approach
Key result
A modified surgical approach using a transcutaneously placed permanent bipolar pacing lead connected to a VVI-pacemaker enables prolonged temporary pacing in patients with infected devices.
Why the study?
Does a modified surgical approach using a permanent bipolar pacing lead connected to an externalized VVI-pacemaker provide effective temporary pacing in pacemaker-dependent patients with device infection?
Population
Pacemaker dependent patients requiring total removal of infected devices
Design
Other
Authors
Discussion
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Implication
May offer an alternative for prolonged temporary pacing in device infections; leaves open safety and efficacy in prospective studies.
Key Points
- To describe a modified surgical technique providing prolonged temporary pacing in pacemaker-dependent patients who require total extraction of infected pacing systems.
- Placed a permanent bipolar pacing lead transcutaneously into the ipsilateral subclavian or jugular vein proximal to the infected pocket.
- Positioned the lead in the right ventricle, secured it to the skin with a suture sleeve, and connected an external pacing generator during device removal.
- Connected the externalized lead to a permanent VVI pacemaker after wound dressing to provide extended temporary pacing support.
- Enabled complete removal of infected hardware while sustaining continuous, uninterrupted cardiac pacing.
- Facilitated extended temporary pacing through an externalized permanent lead system secured against displacement.
Structured PICO
Does a modified surgical approach using a permanent bipolar pacing lead connected to an externalized VVI-pacemaker provide effective temporary pacing in pacemaker-dependent patients with device infection?
P
Population
Pacemaker dependent patients requiring total removal of infected devices
I
Intervention
Modified surgical concept for temporary cardiac pacing using a permanent bipolar pacing lead placed transcutaneously into the ipsilateral subclavian or jugular vein, connected to an external pacing generator, and subsequently to a permanent VVI-pacemaker
A modified surgical technique using a permanent bipolar pacing lead connected to an externalized VVI-pacemaker allows for prolonged temporary pacing in pacemaker-dependent patients undergoing infected device extraction.
Cite This Study
JULIANRASTAN et al. (2005) studied Pacemaker dependent patients with device infection. Modified surgical concept for temporary cardiac pacing was evaluated. A modified surgical approach using a transcutaneously placed permanent bipolar pacing lead connected to a VVI-pacemaker enables prolonged temporary pacing in patients with infected devices.