[Treatment of an infection from an intravenous cardiac stimulation lead with extracorporeal circulation].
The infection of a transvenous lead implanted for cardiac stimulation is a rare but serious complication, because it can lead to the development of septicemia, tricuspid endocarditis, recurrent pulmonary emboli or thrombus formation in right cardiac chambers. The most efficient treatment is the removal of the entire pacing system (generator and lead). We describe our experience with the removal of infected leads with the aid of cardiopulmonary bypass. Indications of this technique and its advantages and disadvantages over the percutaneous extraction methods are discussed. A review of the literature is also presented.
Castedo Mejuto
E
E
Servicio de Cirugía Cardiovascular, Clínica Puerta de Hierro, Universidad Autónoma de Madrid.
Toquero Ramos
J
J
Burgos Lázaro
R
R
García Montero
C
C
Castro Conde
A
A
Ortigosa Aso
J
J
Ugarte Basterrechea
J
J
D000368:Aged; D000369:Aged, 80 and over; D002315:Cardiopulmonary Bypass; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology / Q000601:surgery*; D005112:Extracorporeal Circulation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000382:microbiology / Q000601:surgery*
Tratamiento de la infección del cable de estimulación cardíaca intravenoso mediante circulación extracorpórea.