title: [Total removal of infected pacemaker lead with cardiopulmonary bypass; report of a case].
abstract: The incidence of infection after pacemaker implant has been reported to occur rarely but it's one of the severe complication. Pacemaker lead sometimes imbedded in the right atrial and ventricular wall, and it seemed to be difficult to remove the pacemaker lead by closed techniques. The optimal treatment is total removal generator and pacing lead, therefore, it is necessary to remove with cardiopulmonary bypass. Septicemia caused by infections retained pacemaker lead developed in an 87-year-old man. Following antibiotic therapy, the lead was successfully removed by cardiotomy on cardiopulmonary bypass. Total removal with cardiopulmonary bypass would be recommended.
authors.affiliation: Department of Cardiovascular Surgery, Koshigaya Hospital Dokkyo University School of Medicine, Koshigaya, Japan.
authors.forename: Souichi
authors.initials: S
authors.lastname: Shioguchi
authors.forename: Y
authors.initials: Y
authors.lastname: Irie
authors.forename: T
authors.initials: T
authors.lastname: Chiba
authors.forename: M
authors.initials: M
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Sato
authors.forename: N
authors.initials: N
authors.lastname: Kaki
authors.forename: T
authors.initials: T
authors.lastname: Imazeki
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002315:Cardiopulmonary Bypass; D020878:Device Removal; D004567:Electrodes, Implanted / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D018805:Sepsis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000209:etiology*