title: Polytetrafluoroethylene-coated pacemaker leads as surgical management of contact allergy to silicone.
abstract: We have previously reported an 18-year-old girl with a congenital heart defect who developed complete heart block after one of her corrective surgeries and who needed an epicardial pacemaker implantation. She developed contact sensitivity to silicone compounds. The problem was solved by implanting a silicone-free pacemaker system utilizing silicone-free transvenous leads. The patient was readmitted 2 years later due to lead failure. As no silicone-free epicardial leads were available, we decided to use standard silicone epicardial leads and enclose the whole system in Gore-Tex material (W.L. Gore & Associates, Flagstaff, AZ). Based on our experience we would discourage the use of silicone-free transvenous pacing leads for epicardial use.
authors.affiliation: Department of Pediatric Cardiac Surgery, Rheinisch-Westfaelische Technische Hochschule Aachen University, Aachen, Germany. Electronic address: jvodiskar@ukaachen.de.
authors.forename: Janez
authors.initials: J
authors.lastname: Vodiskar
authors.affiliation: Department of Pediatric Cardiac Surgery, Rheinisch-Westfaelische Technische Hochschule Aachen University, Aachen, Germany.
authors.forename: Heike
authors.initials: H
authors.lastname: Schnöring
authors.affiliation: Department of Pediatric Cardiac Surgery, Rheinisch-Westfaelische Technische Hochschule Aachen University, Aachen, Germany.
authors.forename: Jörg S
authors.initials: JS
authors.lastname: Sachweh
authors.affiliation: Department of Pediatric Cardiology, Rheinisch-Westfaelische Technische Hochschule Aachen University, Aachen, Germany.
authors.forename: Eberhard
authors.initials: E
authors.lastname: Mühler
authors.affiliation: Department of Pediatric Cardiac Surgery, Rheinisch-Westfaelische Technische Hochschule Aachen University, Aachen, Germany.
authors.forename: Jaime F
authors.initials: JF
authors.lastname: Vazquez-Jimenez
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D000293:Adolescent; D054537:Atrioventricular Block / Q000209:etiology / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000009:adverse effects* / Q000379:methods; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D020099:Coated Materials, Biocompatible; D003877:Dermatitis, Contact / Q000209:etiology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011138:Polytetrafluoroethylene / Q000494:pharmacology*; D019233:Retreatment; D018570:Risk Assessment; D012828:Silicones / Q000009:adverse effects*; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D012828:Silicones; D011138:Polytetrafluoroethylene
keywords: 24