Document Detail

Cardiac pacemaker electrodes: improved methods of extraction. Work in progress.
MedLine Citation:
PMID:  7972816     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To develop improved methods of extracting pacemaker electrodes from the femoral vein by using standard equipment and techniques. MATERIALS AND METHODS: Pacemaker electrodes were removed from 61 patients aged 21-91 years (mean, 68 years). In 25 patients (41%), traction was applied to locking stylets to remove electrodes at the subclavian vein entry site. In 30 patients, the electrode tip was freed with traction at the subclavian vein entry site. The electrode was then extracted through a sheath placed in the femoral vein. In six patients (10%), the electrode tip was freed via the femoral vein when traction was applied to grasping devices. The electrode was then removed through a femoral venous sheath. RESULTS: Ninety-nine (95%) of 104 pacemaker electrodes were extracted completely. Two electrodes were trapped in fibrous tissue in the subclavian vein. One right atrial tear occurred. CONCLUSION: Pacemaker electrodes can be removed effectively by using percutaneous techniques.
C W Smith; J C Messenger; S P Schaner; J W Renner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  193     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1994-12-21     Completed Date:  1994-12-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  739-42     Citation Subset:  AIM; IM    
Department of Radiology, Memorial Medical Center, Long Beach, CA.
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MeSH Terms
Catheterization, Peripheral / instrumentation
Electrodes, Implanted* / adverse effects
Femoral Vein
Pacemaker, Artificial* / adverse effects
Radiology, Interventional / instrumentation,  methods*
Staphylococcal Infections / therapy
Staphylococcus epidermidis
Subclavian Vein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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