Narita Masahiko, Kunioka Shingo, Shirasaka Tomonori, Kamiya Hiroyuki
Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.
J Surg Case Rep. 2021 Apr 14;2021(4):rjab094. doi: 10.1093/jscr/rjab094. eCollection 2021 Apr.
The extraction of a pacemaker (PM) lead may cause tricuspid regurgitation; however, in cases of device infection, surgical intervention or immediate PM system replacement is undesirable in the short term to prevent reinfection. We describe a case where Micra leadless PM was used as a bridge procedure to ensure an adequate period for antibacterial therapy and later replaced with a permanent PM system in the setting of PM pocket infection.
取出起搏器(PM)导线可能会导致三尖瓣反流;然而,在发生设备感染的情况下,短期内进行手术干预或立即更换PM系统以防止再次感染是不可取的。我们描述了一例使用Micra无导线PM作为过渡程序的病例,以确保有足够的时间进行抗菌治疗,随后在PM囊袋感染的情况下更换为永久性PM系统。