Remnant pacemaker lead tips after lead extractions in pacemaker infections

Daehoon Kim, Yong Soo Baek, Misol Lee, Jae Sun Uhm, Hui Nam Pak, Moon Hyoung Lee, Boyoung Joung

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Complete hardware removal is recommended in the case of patients with cardiovascular implantable electronic device (CIED) infections. However, the complete extraction of chronically implanted leads is not always achieved. The outcomes and optimal management of CIED infections with retained material after lead extractions have not been elucidated. In this case report, we present five patients with CIED infections with remnant lead tips even after lead extractions. Two patients had localized pocket infections, and were managed with antibiotics for a period of more than two weeks. The other three patients had infective endocarditis, and were managed with antibiotics for a period of more than four weeks. In one patient, the lead tip migrated to the right pulmonary artery, but did not produce any symptoms or complications. Only one of five patients experienced a resurgence of an infection.

Original languageEnglish
Pages (from-to)569-573
Number of pages5
JournalKorean Circulation Journal
Volume46
Issue number4
DOIs
Publication statusPublished - 2016 Jul

Bibliographical note

Funding Information:
This study was supported in part by research grants from the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education, Science and Technology (2012-0007604, 2012-045367), and a grant from the Korean Healthcare technology R&D project funded by Ministry of Health & Welfare (A121668).

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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