Complications due to abandoned noninfected pacemaker leads

ÁdÁm BÖhm, Arnold PintÉR, GÁbor Duray, DezsÕ Lehoczky, GÁbor DudÁs, IstvÁn TomcsÁnyi, IstvÁn PrÉda

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Abstract

noninfected unwanted pacemaker leads are usually abandoned since the reported complication rate related to them is low. We followed 60 patients with noninfected retained leads, and complication was observed in 12 (20%) of them. Lead migration occurred in5 patients, skin erosion in 3 patients, venous thrombosis in 2 patients, and muscle stimulation in 2 patients. Management of the complications was a surgical procedure in seven patients, including two cases of open heart surgery, while chronic medical treatment was necessary in the other five patients. The results of this study suggest that complications due to noninfected abandoned leads may not be as rare as it was previously thought and may present a significant morbidity and cost burden. With the lead extraction technique available, the issue of the removal of all unwanted pacemaker leads should be addressed.

Original languageEnglish
Pages (from-to)1721-1724
Number of pages4
JournalPACE - Pacing and Clinical Electrophysiology
Volume24
Issue number12
DOIs
Publication statusPublished - Jan 1 2001

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Keywords

  • Complication
  • Lead migration
  • Muscle stimulation
  • Noninfected
  • Retained pacemaker lead
  • Skin erosion

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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