title: Minimally invasive removal of infected pacemaker lead.
abstract: A 37-year-old woman with sick sinus syndrome suffered complications with recurring local infection at the generator pocket. Repeated debridement and antibiotic therapy was ineffective. Several attempts to remove leads via the implantation vein by direct traction were unsuccessful. We operated using cardiopulmonary bypass and applied a minimally invasive lower ministernotomy to obtain pleasing cosmetic results. After a right atriotomy, leads were removed. The minimally invasive approach gave satisfactory results, especially cosmetically.
authors.affiliation: First Department of Surgery, Osaka University Medical School, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Hirata
authors.forename: S
authors.initials: S
authors.lastname: Ohtake
authors.forename: Y
authors.initials: Y
authors.lastname: Sawa
authors.forename: A
authors.initials: A
authors.lastname: Amemiya
authors.forename: S
authors.initials: S
authors.lastname: Asada
authors.forename: H
authors.initials: H
authors.lastname: Matsuda
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010138:Pacemaker, Artificial; D016459:Prosthesis-Related Infections / Q000601:surgery*; D012804:Sick Sinus Syndrome / Q000150:complications