Procedural Risk and Long Term Outcome of Pacemaker System Removal by Using Cardio-Pulmonary Bypass
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概要
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<B>Objective:</B> Some patients with pervenous pacemaker need to remove whole pacing system via median sternotomy by using cardio-pulmonary bypass (CPB) because of infection or system failure. We examined the procedural risk and long term outcome of removal of pacing system by using CPB. <B>Methods:</B> From August 1998 to April 2011, the removal of leads was performed in 8 patients (mean age 59 years, including 7 male and 1 female) via median sternotomy by using CPB under general anesthesia. The original diseases were 4 A-V block, 2 SSS, 1 AF and 1 Brugada syndrome. The reason for removal were eradicating infection in 6 cases and allergy in 1 case, lead functional failure in 1 case. Positive culture results were observed in 5 cases of 6 infections cases, including 2 MSSA, 1 MRSA, 1 CNS, and 1 MRSE. <B>Results:</B> The Mode of concomitant operation includes 2 mitral valvuloplasty, 1 CABG, and 2 tricuspid annulo-plasty and 7 putting of myocardial pacing lead. For the long term follow up, one case of infection recurrence was observed, then received exchanging of the infected system. We identified all of the 7 cases that were followed up are alive. <B>Conclusions:</B> Complete removals of pacing system by using CPB were safe and have been successful with favorable long term results.
著者
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Ueda Yuichi
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Okada Masaho
Department Of Thoracic And Cardiovascular Surgery Ogaki City Hospital
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Narita Yuji
Department Of Bioscience And Technology School Of Engineering Hokkaido Tokai University
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Tokuda Yoshiyuki
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Usui Akihiko
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Araki Yoshimori
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Kuwabara Fumiaki
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Oshima Hideki
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Narita Yuji
Department of Cardio-thoracic Surgery, Nagoya University
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Usui Akihiko
Department of Cardio-thoracic Surgery, Nagoya University
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Tokuda Yoshiyuki
Department of Cardio-thoracic Surgery, Nagoya University
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Ueda Yuichi
Department of Cardio-thoracic Surgery, Nagoya University
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Araki Yoshimori
Department of Cardio-thoracic Surgery, Nagoya University
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