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Pacemaker reimplantation

Waldemar Elikowski, Przemysław Mitkowski, Małgorzata Małek-Elikowska, Jerzy Gizło, Lidia Chmielewska-Michalak, Stanisław Łazowski
Acute acalculous cholecystitis (AAC) is a necroinflammatory disease of the gallbladder with no gallstones present. ACC is known to be a serious, even potentially lethal complication observed mainly in patients with various severe underlying conditions including trauma, burn and sepsis. Infection of cardiac implantable electronic devices may lead to cardiac device-related infective endocarditis (CDRIE). The authors describe a case of a 55-year-old female with a history of advanced heart failure and implantation/reimplantation of biventricular pacemaker/defibrillator (CRT-D) for cardiac resynchronization therapy...
September 29, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Simon Claridge, Frederic A Sebag, Steven Fearn, Jonathan M Behar, Bradley Porter, Tom Jackson, Benjamin Sieniewicz, Justin Gould, Jessica Webb, Zhong Chen, Mark O'Neill, Jaswinder Gill, Christophe Leclercq, Christopher A Rinaldi
OBJECTIVE: Responders to cardiac resynchronisation therapy whose device has a defibrillator component and who do not receive a therapy in the lifetime of the first generator have a very low incidence of appropriate therapy after box change. We investigated the cost implications of using a risk stratification tool at the time of generator change resulting in these patients being reimplanted with a resynchronisation pacemaker. METHODS: A decision tree was created using previously published data which had demonstrated an annualised appropriate defibrillator therapy risk of 2...
September 29, 2017: Heart: Official Journal of the British Cardiac Society
Ramón Maseda Uriza, Alfonso Jurado-Román, Javier Jimenez Díaz, Jesús Piqueras Flores, Felipe Higuera Sobrino, Enrique Oliva De Anquín
Pacemaker-induced superior vena cava syndrome (SVCS) is a rare but incapacitating adverse event that can occur years after implantation. Inasmuch as it is a rare disease, there is no consensus about its treatment. The most widely used option is balloon angioplasty and venous stent implantation, with preservation of the lead or previous extraction and subsequent reimplantation after the procedure, which is associated with new episodes of thrombosis. The epicardial implantation reduces the risk of thrombosis...
August 2017: Annals of Thoracic Surgery
Jackson J Liang, Robert D Schaller, Danesh S Modi, Andres Enriquez, Gregory E Supple, Joshua M Cooper
BACKGROUND: Device reimplantation after extraction because of cardiac implantable electronic device (CIED) infection in pacemaker-dependent patients can be challenging in individuals with limited access options. OBJECTIVE: The purpose of this study was to describe a straightforward, low lateral thoracic implantation technique for patients with a patent axillary vein but unavailable bilateral pectoral sites. METHODS: Nine pacemaker-dependent patients (mean age 70 ± 13 years, 7 male) who underwent CIED extraction and low lateral thoracic reimplantation in whom bilateral pectoral sites were unavailable were included in the study...
October 2017: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Tilman Perrin, Baptiste Maille, Coralie Lemoine, Noémie Resseguier, Frédéric Franceschi, Linda Koutbi, Jérôme Hourdain, Jean-Claude Deharo
Aims: Reimplantation of cardiac implantable electronic devices (CIEDs) after extraction due to device infection is a major issue in pacemaker-dependent patients. We compared in-hospital and long-term outcomes with two techniques: epicardial reimplantation (EPI) before CIED extraction and temporary pacing (TP) with a view to delayed endocardial reimplantation. Methods and results: Two cohorts of consecutive pacemaker-dependent patients who underwent transvenous lead extraction at our tertiary centre were included in this retrospective cohort study...
June 3, 2017: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
Abdallah Fayssoil, Arnaud Lazarus, Karim Wahbi, Adam Ogna, Olivier Nardi, Frederic Lofaso, Bernard Clair, David Orlikowski, Djillali Annane
BACKGROUND/OBJECTIVES: Muscular dystrophies are genetic muscle disorders, in which heart involvement and chronic respiratory impairment affect survival. Cardiac conduction disturbances require implantable cardiac pacemaker. Implantable defibrillators may also be necessary to prevent cardiac sudden death. The safety and risk of cardiac electronic devices' implantation are not known in patients with muscular dystrophy. We aimed to assess the risks related to cardiac implantable electronic devices (CIED) in muscular dystrophy patients ventilated by tracheostomy...
November 1, 2016: International Journal of Cardiology
Stefan Simović, Njegoš Petrović, Zorica Smiljanić, Vladimir Ignjatović
A 59-year-old male with recurrent syncope and complete atrioventricular block was admitted to the Coronary Unit. His medical history revealed that 15 years before he had an implanted dual chamber pacemaker with atrial bipolar and ventricular unipolar lead, due to complete atrioventricular block, with reimplantation of pacemaker pulse generator 5 years ago, due to battery depletion. Electronic control of the pacemaker revealed increased ventricular lead impedance 2,062 Ω, without ECG signs of capture, while atrial lead parameters were stable...
May 16, 2016: Journal of Cardiovascular Electrophysiology
Aleksander Maciąg, Paweł Syska, Artur Oręziak, Andrzej Przybylski, Beata Broy, Piotr Kołsut, Dariusz Zając, Maria Bilińska, Maciej Sterliński, Hanna Szwed
BACKGROUND: Ensuring a haemodynamically effective cardiac rhythm is a challenge in patients waiting for pacemaker reimplantation after transcutaneous lead extraction due to an infection of the implanted system. AIM: The authors report a retrospective analysis of temporary pacing with an active fixation lead (AFTP) connected to an externalised pacemaker in patients after transvenous lead extraction (TLE) due to an infection. METHODS: AFTP was used in 34 patients (12 women) aged from 38 to 88 years (mean 67...
2015: Kardiologia Polska
Sana Amraoui, Manav Sohal, Adrian Li, Steven Williams, Paul Scully, Tom Jackson, Simon Claridge, Jonathan Behar, Philippe Ritter, Laurent Barandon, Sylvain Ploux, Pierre Bordachar, Christopher A Rinaldi
BACKGROUND: Pacemaker infection in pacing-dependent patients is challenging. After extraction, temporary pacing usually is utilized before delayed reimplantation (after an appropriate course of antibiotics), resulting in prolonged hospital stays. A single combined procedure of epicardial (EPI) pacemaker implantation and system extraction may prevent this. OBJECTIVE: The purpose of this study was to evaluate the feasibility and safety of these 2 approaches by comparing clinical outcome for both strategies over 1 year...
June 2015: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Joseph E Bavaria, Nimesh Desai, Wilson Y Szeto, Caroline Komlo, Tyler Rhode, Tyler Wallen, Prashanth Vallabhajosyula
OBJECTIVE: Valve-sparing root reimplantation (VSRR) in tricuspid aortic valve (TAV) patients is well established, but in bicuspid aortic valve (BAV) patients, it has been less widely adopted. We assessed whether valve type affects midterm outcomes with VSRR. METHODS: A retrospective review was performed of 186 patients who underwent an aortic valve-sparing root reimplantation operation between 2004 and 2013. Of these, 129 patients underwent elective VSRR with the David V technique...
February 2015: Journal of Thoracic and Cardiovascular Surgery
Thomas Crawford, Kim A Eagle
No abstract text is available yet for this article.
August 2014: Pacing and Clinical Electrophysiology: PACE
Hai-Xia Fu, Xin-Miao Huang, Li Zhong, Michael J Osborn, Haraldur Bjarnason, Siva Mulpuru, Xian-Xian Zhao, Paul A Friedman, Yong-Mei Cha
BACKGROUND: We aimed to determine the long-term outcomes of percutaneous lead extraction and stent placement in patients with pacemaker-induced superior vena cava (SVC) syndrome. METHODS: The study retrospectively screened patients who underwent lead extraction followed by central vein stent implantation at Mayo Clinic (Rochester, MN, USA), from January 2005 to December 2012, to identify the patients with pacemaker-induced SVC syndrome. Demographic, clinical, and follow-up characteristics of those patients were collected from electronic medical records...
November 2014: Pacing and Clinical Electrophysiology: PACE
John V Higgins, Joseph J Gard, Seth H Sheldon, Raul E Espinosa, Christopher P Wood, Joel P Felmlee, Yong-Mei Cha, Samuel J Asirvatham, Connie Dalzell, Nancy Acker, Robert E Watson, Paul A Friedman
INTRODUCTION: Abandoned cardiovascular implantable electronic device (CIED) leads remain a contraindication to magnetic resonance imaging (MRI) studies, largely due to in vitro data showing endocardial heating secondary to the radiofrequency field. We tested the hypothesis that abandoned CIED leads do not pose an increased risk of clinical harm for patients undergoing MRI. METHODS: This single-center retrospective study examined the outcomes of patients who had device generators removed before MRI, rendering the device leads abandoned...
October 2014: Pacing and Clinical Electrophysiology: PACE
Andrew B Hughey, Nimit Desai, Timir S Baman, Lindsey Gakenheimer, Lindsay Hagan, James N Kirkpatrick, Hakan Oral, Kim A Eagle, Thomas C Crawford
BACKGROUND: Reuse of cardiac implantable electronic devices (CIEDs) may help address the unmet need among patients in low- and middle-income countries (LMICs). METHODS: To examine Heart Rhythm Society (HRS) physicians' opinions regarding CIED reuse, an online survey eliciting attitudes toward CIED reuse was sent to all 3,380 HRS physician members. RESULTS: There were 429 responses (response rate 13%). A large majority of respondents agreed or strongly agreed that resterilization of devices for reimplantation in patients who cannot afford new devices may be safe (370, 87%) and, if proven to be safe, would be ethical (375, 88%)...
August 2014: Pacing and Clinical Electrophysiology: PACE
Gang Liu, Dezhi Zheng, Xuebin Li, Jihong Guo, Yu Chen, Shenglong Chen, Dayi Hu
OBJECTIVE: Permanent epicardial pacemaker is seldom used clinically and it is even less likely to be used for the treatment of seriously ill pacing-dependent patients with cardiac electronic device related endocarditis. METHOD: We retrospectively analyzed the feasibility and efficacy of permanent epicardial pacing for the treatment of 3 pacing-dependent patients with cardiac electronic device related endocarditis, who were treated by removal of all pacemaker devices and reimplantation of permanent epicardial pacing system combined with antibiotics...
January 2014: Zhonghua Xin Xue Guan Bing za Zhi
Gabriel Pérez-Baztarrica, Flavio Salvaggio, Norberto Blanco, Héctor Mazzetti, Ricardo Levin, Alejandro Botbol, Rafael Porcile
Infective endocarditis (IE) associated with permanent cardiovascular implantable electronic devices (CIEDs) is a complication of low frequency, but high mortality without adequate treatment. Progress on the knowledge of this disease and the development of therapeutic strategies such as early diagnosis, antibiotic management and better extraction techniques, among others, have improved the prognosis of these patients. The objectives of this study were to evaluate the in-hospital and out-of-hospital morbidity, and analyze some factors that explain the differences among the published mortality data...
December 2013: Investigación Clínica
Feng Ze, Xuebin Li, Ping Zhang, Haicheng Zhang, Long Wang, Ding Li, Jiangbo Duan, Fei Guo, Cuizhen Yuan, Jihong Guo
BACKGROUND: In developing countries, patients with a cardiac rhythm management device (CRMD) that has become infected cannot always afford a new device, and reuse of the infected CRMD may be appropriate. To evaluate the safety of this practice, a cohort of consecutive patients with reused pacemakers was compared with a control group. METHODS: A single-center cohort of consecutive patients treated from 2007 to 2012 was analyzed in a two-way noninferiority study. Patients who had infected CRMDs removed at the Cardiovascular Center of The Peking University People's Hospital were enrolled, including those who had the same CRMD reimplanted and those who had a new CRMD implanted...
August 2014: Pacing and Clinical Electrophysiology: PACE
Prashanth Vallabhajosyula, Caroline Komlo, Wilson Y Szeto, Tyler J Wallen, Nimesh Desai, Joseph E Bavaria
BACKGROUND: At our institution, type I bicuspid aortic valve (BAV) patients with aortic insufficiency (AI) who are candidates for valve preservation are stratified into two groups by aortic root pathology: nonaneurysmal root undergoing primary cusp repair+subcommissural annuloplasty (repair group) vs aneurysmal root undergoing primary cusp repair+root reimplantation (reimplantation group). We report outcomes of this surgical reconstructive strategy for the repaired type I BAV. METHODS: A retrospective review was performed of 71 patients with a type I BAV undergoing primary valve repair from 2005 to 2012...
April 2014: Annals of Thoracic Surgery
Anna Rydlewska, Andrzej Ząbek, Barbara Małecka, Andrzej Kutarski, Jacek Lelakowski
We here present a case of lead dependent infective endocarditis which manifested with pacemaker pocket displacement to the left infra mammary region. The patient underwent pacemaker removal without its reimplantation.
2013: Kardiologia Polska
Anna Polewczyk, Andrzej Kutarski, Andrzej Tomaszewski, Wojciech Brzozowski, Marek Czajkowski, Maciej Polewczyk, Marianna Janion
BACKGROUND: Lead-dependent tricuspid dysfunction (LDTD) is one of important complications in patients with cardiac implantable electronic devices. However, this phenomenon is probably underestimated because of an improper interpretation of its clinical symptoms. The aim of this study was to identify LDTD mechanisms and management in patients referred for transvenous lead extraction (TLE) due to lead-dependent complications. METHODS: Data of 940 patients undergoing TLE in a single center from 2009 to 2011 were assessed and 24 patients with LDTD were identifi ed...
2013: Cardiology Journal
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