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A novel technique for removal of permanent pacemaker leads
Yasuyuki Shimada1, Masatoshi Kawata, Yasushi Iwasaki
1Department of Cardiovascular-Thoracic Surgery, Saiseikai Suita Hospital, Osaka, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|March 5, 2004
Summary
Pacemaker lead removal is crucial for migrated or infected leads. Prompt removal using cardiopulmonary bypass ensures patient recovery, even in complex cases.
Area of Science:
- Cardiovascular Surgery
- Medical Device Management
Background:
- Pacemaker leads can migrate or become infected, necessitating removal.
- Complications include uncontrollable infection, vena cava stenosis, and lead rupture.
Observation:
- Four patients presented with complications from pacemaker leads: infection, migration, and superior/inferior vena cava stenosis.
- Surgical intervention involved cardiopulmonary bypass and specialized tools for lead extraction.
Findings:
- All four patients recovered successfully following lead removal.
- One patient required vena cava reconstruction due to severe stenosis.
Implications:
- Early removal of problematic pacemaker leads is recommended.
- Cardiopulmonary bypass is an effective method for complex lead extraction procedures.