Early abrasion of outer silicone insulation after intracardiac lead friction in a patient with cardiac device-related infective endocarditis.
We present a case of a 76-year-old woman on a permanent pacing device, with early abrasion of silicone endocardial lead insulations complicated by lead-dependent infective endocarditis 13 months after placement of an implantable pulse generator. The leads were removed using transvenous technique with direct traction, and with no additional tools. In the previous report, a set of additional tools was used, and therefore intraoperative endocardial lead abrasions or mechanical damage of leads could have not been excluded. The present case undoubtedly proves that the friction of leads against each other may result in abrasions of insulation of the intracardiac section of the lead.
Department of Electrocardiology, John Paul II Hospital, Krakow, Poland. andrzej_j_z@poczta.onet.pl
Andrej
A
Ząbek
Barbara
B
Małecka
Agnieszka
A
Kołodzińska
Andrej
A
Maziarz
Jacek
J
Lelakowski
Andrej
A
Kutarski
D000368:Aged; D020099:Coated Materials, Biocompatible; D020878:Device Removal; D004553:Electric Conductivity; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004696:Endocarditis / Q000209:etiology* / Q000517:prevention & control* / Q000601:surgery; D005260:Female; D017276:Friction; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000517:prevention & control* / Q000601:surgery; D012825:Silicon; D016896:Treatment Outcome
D020099:Coated Materials, Biocompatible; D012825:Silicon