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Retained pacemaker leads.

S Furman1, M Behrens, C Andrews

  • 1Department of Surgery, Montefiore Medical Center, Bronx, N.Y. 10467.

The Journal of Thoracic and Cardiovascular Surgery
|November 1, 1987
PubMed
Summary
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Abandoning functionless pacemaker leads in place is common. Properly managed, uninfected pacemaker leads have a very low complication rate, even when left in situ.

Area of Science:

  • Cardiology
  • Medical Devices
  • Implantable Devices

Background:

  • Pacemaker leads are increasingly abandoned in situ due to removal difficulties.
  • This practice raises concerns about potential complications and patient safety.

Purpose of the Study:

  • To evaluate the long-term safety and complication rates of abandoned pacemaker leads.
  • To assess outcomes based on the infection status of leads at the time of abandonment.

Main Methods:

  • Retrospective review of 189 pacemaker leads abandoned in 152 patients between 1965 and 1985.
  • Leads were categorized as infected or uninfected at the time of abandonment.
  • Clinical follow-up was conducted to monitor for complications.

Main Results:

Related Experiment Videos

  • Of 189 abandoned leads, 137 were uninfected and 15 were contaminated with Staphylococcus epidermidis.
  • All contaminated leads remained clinically uninfected during follow-up.
  • One uninfected lead became infected early, leading to a fatal cardiac operation.
  • No other late complications were observed in the remaining patients during follow-up (mean 47.6 months).

Conclusions:

  • Abandonment of uninfected pacemaker leads in situ can be a safe procedure with a low complication rate.
  • Proper management and patient selection are crucial for successful lead abandonment.
  • The study supports the practice of leaving uninfected leads in place when removal is not feasible or safe.