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Early Abrasion of Outer Silicone Insulation after Intracardiac Lead Friction in a Patient with Cardiac Device‐Related Infective Endocarditis
Author(s) -
ZĄBEK ANDREJ,
MAŁECKA BARBARA,
KOŁODZIŃSKA AGNIESZKA,
MAZIARZ ANDREJ,
LELAKOWSKI JACEK,
KUTARSKI ANDREJ
Publication year - 2012
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2010.02954.x
Subject(s) - medicine , intracardiac injection , abrasion (mechanical) , infective endocarditis , lead (geology) , endocarditis , silicone , surgery , cardiology , composite material , materials science , geomorphology , geology
We present a case of a 76‐year‐old woman on a permanent pacing device, with early abrasion of silicone endocardial lead insulations complicated by lead‐dependent infective endocarditis 13 months after placement of an implantable pulse generator. The leads were removed using transvenous technique with direct traction, and with no additional tools. In the previous report, a set of additional tools was used, and therefore intraoperative endocardial lead abrasions or mechanical damage of leads could have not been excluded. The present case undoubtedly proves that the friction of leads against each other may result in abrasions of insulation of the intracardiac section of the lead. (PACE 2012; 35:e156–e158)