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[激光鞘管取出感染的起搏器导线]

[Laser sheath extraction of an infected pacemaker lead].

作者信息

ElFarra Hamdi, Moosdorf Rainer, Kratz Thomas, Grimm Wolfram

机构信息

Zentrum für Herz- und thorakale Gefäßchirurgie, Philipps-Universität Marburg, Marburg, Germany.

出版信息

Herzschrittmacherther Elektrophysiol. 2013 Sep;24(3):189-90. doi: 10.1007/s00399-013-0273-7. Epub 2013 Jun 14.

DOI:10.1007/s00399-013-0273-7
PMID:23764773
Abstract

A case of pacemaker electrode infection with Staphylococcus aureus is presented. In order to avoid sternotomy, the right ventricular pacemaker lead, which had been implanted for 15 years, was successfully extracted using a laser sheath despite large endocarditic vegetations on the pacemaker lead. After completion of a 6-week course of antibiotics, the patient was discharged without any further evidence of infection.

摘要

本文报告了一例金黄色葡萄球菌感染起搏器电极的病例。为避免开胸手术,尽管起搏器电极上有大量心内膜炎赘生物,但通过激光鞘成功取出了已植入15年的右心室起搏器导线。在完成为期6周的抗生素疗程后,患者出院,未发现任何进一步的感染迹象。

相似文献

1
[Laser sheath extraction of an infected pacemaker lead].[激光鞘管取出感染的起搏器导线]
Herzschrittmacherther Elektrophysiol. 2013 Sep;24(3):189-90. doi: 10.1007/s00399-013-0273-7. Epub 2013 Jun 14.
2
Extraction of pacing leads jailed by a stent in a mustard circulation.
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[Removal of infected pacemaker leads under extracorporeal circulation].[体外循环下取出感染的起搏器导线]
Kyobu Geka. 2007 Nov;60(12):1074-8.
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Successful laser-assisted percutaneous extraction of four pacemaker leads associated with large vegetations.成功通过激光辅助经皮取出与大型赘生物相关的四根起搏器导线。
Pacing Clin Electrophysiol. 2000 Aug;23(8):1260-2. doi: 10.1111/j.1540-8159.2000.tb00940.x.
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[Pacemaker dependant and/or repetitive ICD therapies. How to solve the dilemma of lead extraction?].[起搏器依赖和/或重复性植入式心律转复除颤器治疗。如何解决导线拔除的困境?]
Herzschrittmacherther Elektrophysiol. 2013 Sep;24(3):152-7. doi: 10.1007/s00399-013-0281-7. Epub 2013 Aug 17.
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Laser extraction of a trapped infected port catheter in a child using existing experience from pacemaker and ICD lead removal.利用起搏器和植入式心律转复除颤器(ICD)导线拔除的现有经验,对一名儿童进行激光取出被困的感染端口导管。
Pacing Clin Electrophysiol. 2011 Jan;34(1):e9-10. doi: 10.1111/j.1540-8159.2010.02738.x.
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Endocardial pacemaker or defibrillator leads with infected vegetations: a single-center experience and consequences of transvenous extraction.带有感染性赘生物的心内膜起搏器或除颤器导线:单中心经验及经静脉拔除的后果
Am Heart J. 2003 Aug;146(2):339-44. doi: 10.1016/S0002-8703(03)00188-1.
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Excimer laser assisted implantable cardioverter defibrillator lead extraction: An alternative treatment to the surgery?准分子激光辅助植入式心脏复律除颤器导线拔除术:手术的替代治疗方法?
Anadolu Kardiyol Derg. 2009 Aug;9(4):340-1.
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Arteriovenous fistula after laser-assisted pacemaker lead extraction.激光辅助起搏器导线拔除术后动静脉瘘
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本文引用的文献

1
Outcomes and predictors of difficulty with coronary sinus lead removal.冠状静脉窦导线拔除困难的结局及预测因素
J Interv Card Electrophysiol. 2012 Oct;35(1):93-100. doi: 10.1007/s10840-012-9685-2. Epub 2012 May 15.
2
Multicenter experience with transvenous lead extraction of active fixation coronary sinus leads.经静脉取出主动固定冠状静脉窦电极导线的多中心经验
Pacing Clin Electrophysiol. 2012 Jun;35(6):641-7. doi: 10.1111/j.1540-8159.2012.03353.x. Epub 2012 Mar 20.
3
Deaths and cardiovascular injuries due to device-assisted implantable cardioverter-defibrillator and pacemaker lead extraction.
因器械辅助植入式心律转复除颤器和心脏起搏器导线拔除导致的死亡和心血管损伤。
Europace. 2010 Mar;12(3):395-401. doi: 10.1093/europace/eup375. Epub 2009 Nov 27.
4
Extraction of pacemaker and implantable cardioverter defibrillator leads: a single-centre study of electrosurgical and laser extraction.起搏器和植入式心脏复律除颤器导线的提取:单中心研究的电外科和激光提取。
Europace. 2009 Nov;11(11):1501-4. doi: 10.1093/europace/eup263. Epub 2009 Sep 29.
5
Contributions of advanced techniques to the success and safety of transvenous leads extraction.先进技术对经静脉导线拔除术成功与安全的贡献。
Pacing Clin Electrophysiol. 2009 Mar;32 Suppl 1:S38-41. doi: 10.1111/j.1540-8159.2008.02225.x.
6
Intravascular lead extraction using the excimer laser: pitfalls and tips for success.使用准分子激光进行血管内导线拔除:成功的陷阱与技巧
Semin Vasc Surg. 2008 Mar;21(1):54-6. doi: 10.1053/j.semvascsurg.2007.11.004.
7
Laser-assist during extraction of chronically implanted pacemaker and defibrillator leads.
Ann Thorac Surg. 2002 Jun;73(6):1893-6. doi: 10.1016/s0003-4975(02)03588-9.