Infected epicardial pacemaker systems. Partial versus total removal

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

Research output: Contribution to journalArticle

34 Citations (Scopus)

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
JournalJournal of Thoracic and Cardiovascular Surgery
Volume82
Issue number5
StatePublished - Dec 1 1981

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Infection
Staphylococcus epidermidis
Conservative Treatment

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Choo, M. H., Holmes, D., Gersh, B. J., Maloney, J. D., Merideth, J., Pluth, J. R., & Trusty, J. (1981). Infected epicardial pacemaker systems. Partial versus total removal. Journal of Thoracic and Cardiovascular Surgery, 82(5), 794-796.

Infected epicardial pacemaker systems. Partial versus total removal. / Choo, M. H.; Holmes, David; Gersh, B. J.; Maloney, J. D.; Merideth, J.; Pluth, J. R.; Trusty, J.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 82, No. 5, 01.12.1981, p. 794-796.

Research output: Contribution to journalArticle

Choo, MH, Holmes, D, Gersh, BJ, Maloney, JD, Merideth, J, Pluth, JR & Trusty, J 1981, 'Infected epicardial pacemaker systems. Partial versus total removal', Journal of Thoracic and Cardiovascular Surgery, vol. 82, no. 5, pp. 794-796.
Choo MH, Holmes D, Gersh BJ, Maloney JD, Merideth J, Pluth JR et al. Infected epicardial pacemaker systems. Partial versus total removal. Journal of Thoracic and Cardiovascular Surgery. 1981 Dec 1;82(5):794-796.
Choo, M. H. ; Holmes, David ; Gersh, B. J. ; Maloney, J. D. ; Merideth, J. ; Pluth, J. R. ; Trusty, J. / Infected epicardial pacemaker systems. Partial versus total removal. In: Journal of Thoracic and Cardiovascular Surgery. 1981 ; Vol. 82, No. 5. pp. 794-796.
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