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Cardiologia Croatica, Vol. 10 No. 7-8, 2015.

Review article

https://doi.org/10.15836/ccar.2015.179

Transvenous Pacemaker Lead Extraction: First Experiences in the University Hospital Centre Rijeka

David Židan ; University Hospital Centre Rijeka, Rijeka, Croatia
Sandro Brusich ; University Hospital Centre Rijeka, Rijeka, Croatia
Marina Klasan ; University Hospital Centre Rijeka, Rijeka, Croatia
Koraljka Benko ; University Hospital Centre Rijeka, Rijeka, Croatia
Daniela Malić Zahirović ; University Hospital Centre Rijeka, Rijeka, Croatia
Ivana Grgić ; University Hospital Centre Rijeka, Rijeka, Croatia
Zlatko Čubranić ; University Hospital Centre Rijeka, Rijeka, Croatia

Full text: croatian pdf 635 Kb

page 179-185

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Full text: english pdf 635 Kb

page 179-185

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Abstract

During recent years there has been a significant increase in pacemaker implantation. Consequently, the number of possible complications and the need for pacemaker lead extraction has grown as well. The most common indication for pacemaker lead extraction is localized or systemic infection. Since lead extraction is among the most complex and dangerous cardiologic procedures, new techniques and tools are being developed on a yearly basis that significantly facilitate extraction and reduce the risk of possible, often very severe, complications. Considering the above, it is necessary to organize enough appropriate centers with specialized multidisciplinary teams trained for the performance of these procedures.
Since early 2013, a pacemaker lead extraction program was started at the Department for Arrhythmia and Electrical Stimulation at the University Hospital Centre Rijeka. Over a period of two and a half years, a total of 27 procedures have been performed and 51 pacemaker leads were extracted, of which two were defibrillator leads. The main cause of lead extraction was localized infection/pocket decubitus, while systemic infection was much rarer. Extraction techniques used were predominantly traction and locking stylet extractions. The most significant complication was the development of symptomatic pericardial effusion. There were no fatal outcomes.

Keywords

pacemaker; lead; infection; extraction; complications

Hrčak ID:

143511

URI

https://hrcak.srce.hr/143511

Publication date:

15.8.2015.

Article data in other languages: croatian

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