Open AccessManagement of a complicated ‘pacemaker pocket’ site infection
Author(s) -
Karthik Raghuram,
Krishna Kumar Mohanan Nair,
Narayanan Namboodiri,
Debasish Das,
Ajitkumar Valaparambil
Publication year - 2021
Publication title -
national medical journal of india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 41
ISSN - 0970-258X
DOI - 10.4103/0970-258x.326761
Subject(s) - medicine , medline , intensive care medicine , biology , biochemistry
Pocket site infection after implantation of a pacemaker is a dreaded complication which requires removing the device and reimplanting it at a contralateral site. Difficulties arise when the patient is dependent on pacing and when there are issues with venous access at the contralateral site. We report a patient with pacemaker pocket site infection with congenital complete heart block managed with explantation of the device, semi-permanent pacing during antibiotic treatment, reimplantation of the device at the contralateral site and management of subtotal subclavian vein stenosis noted during reimplantation.