The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

HOW SHOULD I TREAT?

How should I treat a patient with an entrapped infected permanent pacemaker lead?

EuroIntervention 2014;10:403-405. DOI: 10.4244/EIJV10I3A67

1. Department of Cardiology, Son Espases Hospital, Palma de Mallorca, Spain; 2. Department of Pathology, Son Espases Hospital, Palma de Mallorca, Spain
CASE SUMMARY

BACKGROUND: A 72-year-old man with an infected permanent dual chamber pacemaker.

INVESTIGATION: The patient underwent successful generator removal, although the pacemaker leads were left due to severe entrapment despite energetic external traction. Percutaneous lead extraction was performed and was complicated by tricuspid valve avulsion leading to severe tricuspid regurgitation.

DIAGNOSIS: Entrapment of infected pacemaker lead.

MANAGEMENT: First, a loop around the leads was created using the combination of a gooseneck snare and a wire. Second, a single goose snare was used to remove the remaining severely entrapped piece of lead.

KEYWORDS: pacemaker infection, ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article
Will this trial change my practice? TASTE - a randomised registry on thrombus aspiration in primary PCI with a 30-day endpoint