Pacemaker lead extraction has been shown to be an effective and safe treatment in the case of infected permanent pacemaker leads. However, it can lead to potentially serious complications, usually occurring during the extraction procedure. This report describes a case of a 74-year-old male with a persistent superior vena cava thrombosis related to an infected permanent pacemaker lead transvenous extraction. Clinical and surgical management are discussed.
OginosawaY., AbeH., NakashimaY.. The incidence and risk factors for venous obstruction after implantation of transvenous pacing leads.Pacing Clin Electrophysiol2002; 25: 1605–11.
3.
BrackeF.A., MeijerA., Van GelderL.M.. Pacemaker lead complications: when is extraction appropriate and what can we learn from published data?Heart2001; 85: 254–8.
4.
RozmusG., DaubertJ.P., HuangD.T., RoseroS., HallB., FrancisC.. Venous thrombosis and stenosis after implantation of pacemakers and defibrillators.J Interv Card Electrophysiol2005; 13: 9–19.
5.
KlugD., WalletF., KacetS., CourcolR.J.. Detailed bacteriologic tests to identify the origin of transvenous pacing system infections indicate a high prevalence of multiple organisms.Am Heart J2005; 149: 322–8.
6.
ChangJ.P., ChenM.C., GuoG.B., KaoC.L.. Less-invasive surgical extraction of problematic or infected permanent transvenous pacemaker system.Ann Thorac Surg2005; 79: 1250–4.
7.
KlugD., LacroixD., SavoyeC.Systemic infection related to endocarditis on pacemaker leads: clinical presentation and management.Circulation1997; 95: 2098–107.
