Removal of infected pacemaker leads with deep hypothermic circulatory arrest and open surgical exploration of the superior vena cava and innominate veins

David M. Feldbaum, Richard F. Brodman, Rosemary Frame, Margarita T. Camacho, Jay Gross, Kevin Ferrick

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Despite the use of transvenous methods for extraction of infected leads, failed attempts may result in retained lead fragments. Retained lead fragments may be a focus of continued infection leading to sepsis. We present two patients in which conversion from cardiopulmonary bypass to hypothermic circulatory arrest allowed direct visualization, using venotomies in the superior vena cava and innominate vein to achieve complete removal of retained pacemaker lead fragments. Use of venotomies in the extracardiac venous system is a technical addition to prior descriptions of lead extraction using deep hypothermia and circulatory arrest.

Original languageEnglish (US)
Pages (from-to)962-964
Number of pages3
JournalPACE - Pacing and Clinical Electrophysiology
Volume22
Issue number6 I
DOIs
Publication statusPublished - Jul 5 1999

    Fingerprint

Keywords

  • Cardiopulmonary bypass
  • Hypothermic circulatory arrest
  • Infected pacemaker
  • Retained transvenous leads

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this