Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique

Okada, Ayako; Aizawa, Katsuo; Tomita, Takeshi; Yoshie, Koji; Takeuchi, Takahiro; Shoda, Morio; Ikeda, Uichi

doi:10.1016/j.joa.2014.12.002

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…There have only been a few reports of lead extraction, particularly in Japan [14][15][16]. In the present study, we showed that extraction of CIEDs in a series of 29 patients with 61 leads was clinically expedient and successful.…”

Section: Discussionsupporting

confidence: 59%

Single-center experience with percutaneous lead extraction of cardiac implantable electric devices

Okada

Shoda

Tabata

et al. 2018

Journal of Cardiology

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Section: Discussionsupporting

confidence: 59%

Single-center experience with percutaneous lead extraction of cardiac implantable electric devices

Okada

Shoda

Tabata

et al. 2018

Journal of Cardiology

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“…Okamura et al [2] reported their initial 40 cases. Ohmori et al [3] reported a case of a thoracoscopy-guided lead extraction with an excimer laser sheath and Okada et al [4] reported a case of a transjugular extraction using a snare technique. Our current study consisted of 183 patients, the largest cohort in Japan, and, therefore, this study can clarify the status of device infections and lead extractions in Japan.…”

Section: Discussionmentioning

confidence: 99%

“…We introduced the excimer laser system in 2009 for the transvenous removal of the implanted leads. However, there have been few reports [2] , [3] , [4] concerning the management of cardiac device infections. The purpose of this study was to review our single center experience and to clarify the current status of cardiac implantable electronic device (CIED) infections in Japan.…”

Section: Introductionmentioning

confidence: 99%

Lead extractions in patients with cardiac implantable electronic device infections: Single center experience

Goya

Nagashima

Hiroshima

et al. 2016

Journal of Arrhythmia

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BackgroundLead extraction using laser sheaths is performed mainly for cardiac implantable electronic device (CIED) infections. However, there are few reports concerning the management of CIED infections in Japan.Methods and resultsLead extraction procedures were performed in 183 patients targeting 450 leads (atrial leads: 170, ventricular: 181, implantable cardioverter-defibrillators (ICDs): 79, and coronary sinus: 20). One hundred twenty patients (65.6%) presented with pocket infections without the presentation of an endovascular infection. Blood cultures were positive at least once in 63 patients (34.4%). Complete procedure success was achieved for 437 leads (97.1%) while partial removal occurred in nine, and failure in four leads. Major complications directly related to the procedure occurred in five patients (2.7%). Two of the four patients with a cardiac tamponade required a surgical repair. All patients received intravenous antibiotics, at least, one week after the procedure. Pocket or systemic infections were successfully controlled in 181 patients (98.9%). Coagulase-negative staphylococci (30.1%) and Staphylococcus aureus (37.1%) were the most common causes of CIED infections.ConclusionThe current status of CIED infections in Japan seems to be similar to that previously reported from foreign countries. The optimal treatment of CIED infections involves the complete explantation of all hardware, followed by antibiotic therapy.

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“…money to replace the entire pacemaker system (lead + battery). 11, 12 We used the conventional technique by moving the pacemaker bag further away. medially treated with intravenous antibiotics for 14 days.…”

Section: Case Reportmentioning

confidence: 99%

Management of late implantable cardiac device infection in the elderly patient: a case report

Kartika

2022

JIntSurClinMed

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Introduction: Currently, the use of Cardiac Implantable Electronic Devices (CIED) is widely used, but in line with the increase in the use of CIEDs, there has also been an increase in the rate of complications. Infection accounts for about 1% of them. All of these were seen in chronically ill patients with multiple comorbid conditions within a few years of implantation. It has not become a standard treatment for infection in the pacemaker bag until now. This study aims to report an immunocompetent patient who developed a pacemaker pocket infection with Escherichia coli bacteria after more than 10 years post-implantation who was successfully treated by moving the bag more medial to sterilization on a pacemaker battery. Case Report: We report an 89 year-old, elderly patient with sick sinus syndrome with a pacemaker pocket infection. The method we used was to explant the battery from the pacemaker and sterilize it with gas, the next day it was reassembled by moving the bag more medially. Loading of the vancomycin antibiotic was carried out for 14 days while still controlling the renal function Conclusion: Staphylococcus aureus causes the majority of CIED infections, especially in immunocompromised elderly patients. Proper treatment of infected pacemaker pouches is necessary with minimal improvement on antibiotics. If left untreated, it can develop into endocarditis which has a high mortality rate.

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Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique

Cited by 4 publications

References 5 publications

Single-center experience with percutaneous lead extraction of cardiac implantable electric devices

Single-center experience with percutaneous lead extraction of cardiac implantable electric devices

Lead extractions in patients with cardiac implantable electronic device infections: Single center experience

Management of late implantable cardiac device infection in the elderly patient: a case report

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