We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Implantacja nowego bezelektrodowego rozrusznika serca o aktywnej fiksacji u pacjentki po przezżylnym usunięciu układu stymulującego z powodów infekcyjnych.
- Authors
Boczar, Krzysztof; Ząbek, A.; Ulman, M.; Lelakowski, J.
- Abstract
A 75-year-old female after DDD pacemaker implantation in the left side of the chest due to sick sinus syndrome and occurrent second-degree AV block (Figure 1A), with end-stage kidney disease and the presence of a dialysis port on the right side of the chest has been referred to our department due to cardiac implanted electronic device infective endocarditis (CIED-IE). The patient was scheduled for transvenous lead extraction (TLE). The procedure was performed in a hybrid operating room without complications. Cardiac pacing was secured using a temporary pacing electrode for the period of antibiotic therapy. After completing the six-week period of antibiotic therapy, the patient was admitted for implantation of a new pacing system. Due to the previous TLE of the infected pacing system on the left side of the chest and the presence of a dialysis port on the right side of the chest, a decision was made to implant a leadless cardiac pacemaker in accordance with current guidelines on cardiac pacing. A new cardiac leadless pacemaker (LP) Abbott Aveir LP was implanted in an electrophysiology lab (Figure 1B). Procedure was uneventful and lasted 60 minutes, with 9 minutes 24 seconds of fluoroscopy. LP was implanted in the distal part of intraventricular septum. Pacing parameters were good. Sensing was 3 mV, impedance 590 ohms and pacing threshold 0.5 V/0.5 ms. Pacing program was set to VVI 50/min. No complications were observed related to the new LP during the 4-month follow-up period. Pacing parameters remain stable, with further improvement in pacing threshold to 0.5 V/0.2 ms. The percentage of pacing was 1% and the estimated battery longevity was calculated to approximately 23 years. New cardiac leadless pacemaker with active fixation was safe and effective tool for permanent cardiac pacing in patient after CIED-IE and limited venous access.
- Subjects
ANTIBIOTICS; SICK sinus syndrome; BLOOD vessels; ARTIFICIAL implants; ENDOCARDITIS; HEMODIALYSIS equipment; MEDICAL device removal; CHRONIC kidney failure; MEDICAL equipment; CARDIAC pacemakers; CARDIAC pacing; HEART block; CARDIAC surgery; ELECTRODES; FLUOROSCOPY; ELECTROPHYSIOLOGY; BIOLOGICAL laboratories
- Publication
Polish Heart Journal / Kardiologia Polska, 2024, Vol 82, p64
- ISSN
0022-9032
- Publication type
Article