Multi-stage, complicated lead-dependent infective endocarditis treatment: good and bad decisions

被引：0
|
作者：
Kutarski, Andrzej [1 ]
Pietura, Radoslaw [2 ]
Czajkowski, Marek [3 ]
Tomaszewski, Andrzej [1 ]
机构：
[1] Med Univ Lublin, Dept Cardiol, PL-20090 Lublin, Poland
[2] Med Univ Lublin, Dept Intervent Radiol & Neuroradiol, PL-20090 Lublin, Poland
[3] Med Univ Lublin, Dept Cardiac Surg, PL-20090 Lublin, Poland
来源：
KARDIOCHIRURGIA I TORAKOCHIRURGIA POLSKA | 2011年 / 8卷 / 01期
关键词：
lead-dependent infective endocarditis; percutaneous lead removal; surgical lead removal;
D O I：
暂无
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Indications to surgical treatment of patients with lead-dependent infective endocarditis are clearly defined in guidelines, but technical and logistic issues are not given precisely. The present state of knowledge about pathophysiology of patients' reaction to pacemakers and leads shows that preoperative percutaneous lead evacuation or at least complete liberation inside the venous system before a surgical intracardiac procedure is an optimal solution. Complete lead removal through the right atrium is often impossible and partial removal is a potential source of infective endocarditis. The case is an illustration of this sad truth.
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页码：30 / 36
页数：7
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