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How to temporarily pace a pacemaker-dependent patient after lead extraction for device infection?
Author(s) -
Giulio Zucchelli,
Giovanni Coluccia,
Maria Grazia Bongiorni
Publication year - 2013
Publication title -
ep europace
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eut334
Subject(s) - medicine , lead (geology) , permanent pacemaker , fixation (population genetics) , surgery , cardiology , geomorphology , geology , population , environmental health
We read with interest the work by Pecha et al .1 recently published in the Journal . The authors aimed to evaluate a new option of temporary pacing (TP) in pacemaker-(PM)-dependent patients undergoing lead extraction (LE) for a cardiac implantable electronic device (CIED) infection, that was used to delay re-implantation and improve safety and freedom from re-infection in follow-up.An active-fixation lead (AFL) was ipsilaterally implanted and connected to an externalized PM, in this way keeping the infected extraction side for TP and preserving the site of definitive device re-implantation. They did not observe infection recurrences, nor lead dislocation after a mean follow-up time of 21.1 months in spite of the long duration of TP (median 12.7 days, …

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