Pacemaker endocarditis: approach for lead extraction in endocarditis with large vegetations

The presence of large lead vegetations poses additional difficulties for explantation because many methods cannot be used due to the potential hazard of embolism. We report two patients with large vegetation on the ventricular lead due to endocarditis and one of them with an atrial septal defect associated. It was applied a combined technique of transvenous lead removal and sternotomy with cardiopulmonary bypass for the complete removal of pacemaker wires. This procedure resolved the pacemakers endocarditis safely and subsequently a new transvenous device was placed on the opposite site.

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Bibliographic Details
Main Authors: Vaccarino,Guillermo Nuncio, Nacinovich,Francisco, Piccinini,Fernando, Mazzetti,Hector, Segura,Eliseo, Navia,Daniel
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2009
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382009000500020
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