2nd Department of Medicine and Cardiology Center, University of Szeged, Szeged, Hungary.
Department of Nuclear Medicine, University of Szeged, Szeged, Hungary.
Herzschrittmacherther Elektrophysiol. 2021 Mar;32(1):124-127. doi: 10.1007/s00399-020-00728-1. Epub 2020 Oct 23.
Technological advances and increasing operator experience have improved the success rate of transvenous lead extraction (TLE). However, in some cases-especially with longer lead dwelling time-TLE can be highly complicated. In this case report, the authors present an unusual case of implantable cardioverter defibrillator (ICD) pocket infection diagnosed by F‑fluorodeoxyglucose positron emission tomography/computed tomography (F‑FDG-PET/CT). Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.
技术进步和操作人员经验的增加提高了经静脉导线拔除（TLE）的成功率。然而，在某些情况下-特别是在导线留置时间较长的情况下-TLE 可能非常复杂。在本病例报告中，作者介绍了一例通过 F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（F-FDG-PET/CT）诊断的植入式心脏转复除颤器（ICD）囊袋感染的不寻常病例。完全的导线拔除需要采用经静脉和手术相结合的方法。由于右头臂静脉闭塞，对侧重新植入失败。因此，植入了皮下 ICD。本病例强调了采用多学科方法治疗心脏植入式电子设备感染的重要性。
