Sato M, Konno S, Maemura T, Goto K, Hayashibe Y, Ito J
Department of Cardiovascular Surgery, Hiroo Cosmopolitan General Hospital, Tokyo, Japan.
Kyobu Geka. 1995 Nov;48(12):1009-12.
Two elder cases in whom infected pacemaker leads were removed under extracorporeal circulation (ECC) are reported. The leads could not be with drawn without direct sharp dissection under ECC because they had become firmly encased with fibrous tissue within the right ventricle. Postoperative courses were uneventful and neither of these patients has experienced recurrent infection to date. Removal with ECC seems to be a safe and effective procedure even in the elderly, provided that cardiac function is good.
报告了两例在体外循环（ECC）下移除感染起搏器导线的老年病例。由于导线已被右心室内的纤维组织牢固包裹，在ECC下若不进行直接锐性分离则无法取出。术后病程平稳，迄今为止这两名患者均未出现反复感染。只要心功能良好，即使对于老年人，在ECC下进行移除似乎也是一种安全有效的方法。
