Surgical pacemaker lead extraction: 10 years of experience
C Starck1, W Hemmer1, J O Böhm1
1Sana Herzchirurgische Klinik Herdweg 2 70174 Stuttgart, Germany E-Mail: CT.Starck@t-online.de, Germany.
Herzschrittmachertherapie & Elektrophysiologie
|July 20, 2016
Summary
Surgical pacemaker lead extraction is a safe and effective solution for patients with infected leads when percutaneous methods fail or are contraindicated. This study found a 0% mortality rate and 100% success in lead removal, with no reported reinfections.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Infectious Diseases
Background:
- Increasing pacemaker implants lead to more lead extraction challenges.
- Percutaneous extraction is preferred, but surgical intervention is necessary for specific cases like large vegetations.
Purpose of the Study:
- To evaluate the safety and efficacy of surgical pacemaker lead extraction.
- To assess outcomes in patients requiring surgical lead removal due to infection.
Main Methods:
- Retrospective analysis of 16 patients undergoing surgical lead extraction between 1991 and 2001.
- Procedures included open-heart surgery with cardiopulmonary bypass (13 cases) and closed-heart surgery (3 cases).
Main Results:
- All patients had lead infection and advanced septicemia symptoms.
- Successful lead extraction was achieved in 100% of cases.
- Perioperative mortality was 0%, and no reinfections occurred.
Conclusions:
- Surgical pacemaker lead extraction is a highly effective and safe procedure with no significant mortality.
- Early surgical intervention is recommended when indicated.
