title: Surgical removal of infected transvenous pacemaker leads.
abstract: Infection, though uncommon, can be the most lethal of all potential complications following transvenous pacemaker implantation. Eradication of infection associated with pacemakers requires complete removal of all hardware, including inactive leads. Since 1972, 5,089 patients have had 8,508 pacemaker generators implanted at Montefiore Medical Center. There were 91 infections (1.06%); four of our patients required surgical removal. Nine additional patients were referred for surgical removal of infected transvenous pacemaker leads from other institutions. Surgical methods for removal included use of cardiopulmonary bypass or inflow occlusion. Surgery may be safely used in unstable or elderly patients and should not be reserved as a last resort. This article reviews our surgical experience removing infected pacemaker leads at Montefiore Medical Center.
authors.affiliation: Department of Cardiothoracic Surgery, Montefiore Medical Center, Moses Division, Bronx, New York 10467.
authors.forename: R
authors.initials: R
authors.lastname: Frame
authors.forename: R F
authors.initials: RF
authors.lastname: Brodman
authors.forename: S
authors.initials: S
authors.lastname: Furman
authors.forename: C A
authors.initials: CA
authors.lastname: Andrews
authors.forename: J N
authors.initials: JN
authors.lastname: Gross
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D007239:Infections / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D013903:Thoracic Surgery