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Complications due to abandoned noninfected pacemaker leads
1Second Department of Medicine, Faculty of Health Sciences, Semmelweis University, Budapest, Hungary. bohm@freemail.hu
Pacing and Clinical Electrophysiology : PACE
|January 31, 2002
Summary
Complications from abandoned pacemaker leads are more common than previously believed. This study found 20% of patients experienced issues, necessitating interventions and highlighting the need for lead removal strategies.
Area of Science:
- Cardiology
- Medical Devices
- Patient Safety
Background:
- Noninfected unwanted pacemaker leads are often abandoned due to perceived low complication rates.
- Previous literature suggests minimal risk associated with retained pacemaker leads.
Purpose of the Study:
- To investigate the actual complication rate and types of adverse events associated with noninfected abandoned pacemaker leads.
- To evaluate the clinical significance and management of complications arising from retained leads.
Main Methods:
- A prospective follow-up study was conducted on 60 patients with noninfected retained pacemaker leads.
- Complications were monitored, documented, and categorized, with management strategies recorded.
Main Results:
- A significant complication rate of 20% (12 out of 60 patients) was observed.
- Specific complications included lead migration (5), skin erosion (3), venous thrombosis (2), and muscle stimulation (2).
- Seven patients required surgical intervention, including two open-heart surgeries, while five needed chronic medical management.
Conclusions:
- Complications from noninfected abandoned pacemaker leads may be underestimated and can lead to substantial morbidity and healthcare costs.
- The availability of lead extraction techniques warrants a re-evaluation of policies regarding the removal of all unwanted pacemaker leads.
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