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Eur J Cardiothorac Surg 2005;27:1116-1118
© 2005 Elsevier Science NL

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Pacemaker dependent patients with device infection—a modified approach

Department of Cardiac Surgery, Heart Center, University of Leipzig, Herzzentrum Leipzig, Struempellstr. 39, 04289 Leipzig, Germany

Received 24 November 2004; received in revised form 5 February 2005; accepted 8 February 2005.

^* Corresponding author. Tel.: +49 341 865 1421; fax: +49 341 869 6646. (E-mail: rastan{at}rz.uni-leipzig.de).

A modified surgical concept for temporary cardiac pacing in pacemaker dependent patients requiring total removal of infected devices is presented. Proximal to the infected pocket a permanent bipolar pacing lead is placed transcutaneously into the ipsilateral subclavian or jugular vein. The lead is placed in the right ventricle and fixed into the skin using the suture sleeve. Pacing is established by connecting an external pacing generator. Subsequently the infected device can be removed completely. After wound dressing the externalized lead is connected to a permanent VVI-pacemaker allowing for prolonged temporary pacing.

Key Words: Temporary pacing • Infection • Pacemaker

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