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Temporary use of an eroded bipolar pacemaker system.

E C Tyndal, S D Goodwin

    The American Surgeon
    |August 1, 1984
    PubMed
    Summary
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    Pacemaker erosion affects 3.4% of patients. A staged approach exteriorizes the pulse generator for infection control, then replaces the system, effectively managing pacemaker erosion and infection.

    Area of Science:

    • Cardiology
    • Medical Device Technology
    • Infectious Disease

    Background:

    • Pacemaker erosion is a rare but serious complication.
    • Staphylococcus epidermidis is a common cause of infection in eroded pacemakers.

    Observation:

    • Six out of 176 bipolar pacemaker procedures (3.4%) resulted in erosion over 2.5 years.
    • Erosion occurred between 5 and 23 months post-insertion.
    • One patient treated had a pacemaker inserted at another facility.

    Findings:

    • A staged management strategy was employed, involving initial exteriorization of the bipolar pulse generator.
    • The exteriorized system served as a temporary pacing solution during infection control.
    • A new pacemaker system was implanted contralaterally after infection resolution.

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    Implications:

    • This method avoids the need for a separate temporary pacing catheter insertion.
    • It allows for patient ambulation during treatment.
    • The approach proved effective in all treated cases, preventing further complications.