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起搏器感染导线拔除后的残留起搏器导线尖端

Remnant Pacemaker Lead Tips after Lead Extractions in Pacemaker Infections.

作者信息

Kim Daehoon, Baek Yong-Soo, Lee Misol, Uhm Jae-Sun, Pak Hui-Nam, Lee Moon-Hyoung, Joung Boyoung

机构信息

Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Korean Circ J. 2016 Jul;46(4):569-73. doi: 10.4070/kcj.2016.46.4.569. Epub 2016 Jul 21.

DOI:10.4070/kcj.2016.46.4.569
PMID:27482268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4965438/
Abstract

Complete hardware removal is recommended in the case of patients with cardiovascular implantable electronic device (CIED) infections. However, the complete extraction of chronically implanted leads is not always achieved. The outcomes and optimal management of CIED infections with retained material after lead extractions have not been elucidated. In this case report, we present five patients with CIED infections with remnant lead tips even after lead extractions. Two patients had localized pocket infections, and were managed with antibiotics for a period of more than two weeks. The other three patients had infective endocarditis, and were managed with antibiotics for a period of more than four weeks. In one patient, the lead tip migrated to the right pulmonary artery, but did not produce any symptoms or complications. Only one of five patients experienced a resurgence of an infection.

摘要

对于心血管植入式电子设备（CIED）感染患者，建议完全移除硬件。然而，长期植入导线的完全拔除并非总能实现。导线拔除后CIED感染伴有残留物质的治疗结果和最佳管理方法尚未阐明。在本病例报告中，我们介绍了5例CIED感染患者，即使在导线拔除后仍有残留导线尖端。2例患者有局部囊袋感染，接受了两周以上的抗生素治疗。另外3例患者有感染性心内膜炎，接受了四周以上的抗生素治疗。1例患者的导线尖端迁移至右肺动脉，但未产生任何症状或并发症。5例患者中只有1例感染复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/b7eed3307a01/kcj-46-569-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/faff7da8b21b/kcj-46-569-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/c882512dc808/kcj-46-569-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/b7eed3307a01/kcj-46-569-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/faff7da8b21b/kcj-46-569-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/c882512dc808/kcj-46-569-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78d6/4965438/b7eed3307a01/kcj-46-569-g003.jpg

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Detailed bacteriologic tests to identify the origin of transvenous pacing system infections indicate a high prevalence of multiple organisms.用于确定经静脉起搏系统感染源的详细细菌学检测表明，多种微生物的感染率很高。
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