LIMITED OPERATION FOR INFECTED CARDIAC PACING SYSTEM

Abstract

From January 1990 to December 1993, a total of five patients were treated by limited operation for infections involving cardiac pacing system. We have done two different procedures for limited operation. (1) Procedure using implanted pacing lead. Generator and generator pocket were replaced, (2) Procedure using implanted pacing lead which was cut close to the subclavian vein and connected with new lead. Generator and generator pocket were replaced. Bacteremia, infection in the inside of lead insulation and infectious sign close to the subclavian vein are regarded as contraindication for limited operation. As there have been no recurrence of infection during follow- up periods with a range of 24 to 63 months, limited operation should be one of the choice for the treatment of infectious pacing system.