Cardiologia Croatica, Vol. 10 No. 7-8, 2015.
Pregledni rad
https://doi.org/10.15836/ccar.2015.179
Transvenous Pacemaker Lead Extraction: First Experiences in the University Hospital Centre Rijeka
David Židan
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Sandro Brusich
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Marina Klasan
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Koraljka Benko
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Daniela Malić Zahirović
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Ivana Grgić
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Zlatko Čubranić
; Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Sažetak
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.
Ključne riječi
pacemaker; lead; infection; extraction; complications
Hrčak ID:
143511
URI
Datum izdavanja:
15.8.2015.
Posjeta: 2.492 *