Infected epicardial pacemaker systems. Partial versus total removal

M. H. Choo, D. R. Holmes, B. J. Gersh, J. D. Maloney, J. Merideth, J. R. Pluth, J. Trusty

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

Nine patients with infected epicardial pacemakers are described. All of the patients had infection localized to the generator pocket. Staphylococcus epidermidis, the most common organism isolated, was found in 7 (77.8%). Conservative nonsurgical treatment was initially attempted in 5 patients. This failed in all and necessitated subsequent operation. At the time of the initial operation, lead transection and partial removal of the system was performed in 7 patients. In 4 of them (57%), persistent infection necessitated further operation and complete extraction to eradicate the infection. In contrast, in all 6 patients (100%) in whom total removal was achieved (2 at the time of initial operation and 4 at the time of subsequent operation), there was successful resolution of the infection. Therefore, complete extraction of the entire pacing system should be carried out, whenever possible, to achieve the greatest likelihood of eradicating the infection.

Original languageEnglish (US)
Pages (from-to)794-796
Number of pages3
JournalUnknown Journal
Volume82
Issue number5
DOIs
StatePublished - 1981

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Choo, M. H., Holmes, D. R., Gersh, B. J., Maloney, J. D., Merideth, J., Pluth, J. R., & Trusty, J. (1981). Infected epicardial pacemaker systems. Partial versus total removal. Unknown Journal, 82(5), 794-796. https://doi.org/10.1016/s0022-5223(19)39280-3