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


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

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, ...

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