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A case report of successful permanent pacemaker implantation via the iliac vein
An 85-year-old man was referred to our hospital with a pacemaker pocket infection. A permanent pacemaker had been implanted via the right subclavian vein. The pacemaker and pacing leads were removed and a temporary pacemaker was implanted. After vancomycin treatment for 4 weeks, pacemaker implantati...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823576/ https://www.ncbi.nlm.nih.gov/pubmed/27092198 http://dx.doi.org/10.1016/j.joa.2015.08.004 |
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author | Yamaguchi, Tetsuo Miyamoto, Takamichi Yamauchi, Yasuteru Obayashi, Tohru |
author_facet | Yamaguchi, Tetsuo Miyamoto, Takamichi Yamauchi, Yasuteru Obayashi, Tohru |
author_sort | Yamaguchi, Tetsuo |
collection | PubMed |
description | An 85-year-old man was referred to our hospital with a pacemaker pocket infection. A permanent pacemaker had been implanted via the right subclavian vein. The pacemaker and pacing leads were removed and a temporary pacemaker was implanted. After vancomycin treatment for 4 weeks, pacemaker implantation via the right external iliac vein was performed under local anesthesia because of left subclavian vein occlusion, infection of the right pocket, and difficulty with epicardial lead insertion. The iliac vein approach is an effective alternative in patients in whom the pectoral approach cannot be used. Learning objective: Permanent pacemaker implantation using the conventional pectoral approach is impossible or contraindicated in 1–6% of patients. In such patients, implantation via the iliac vein is considered an effective alternative. The advantages of this approach are that the wound size and bleeding amount are very small and that it can be performed under local anesthesia. Therefore, this approach can be used in patients with a poor general condition, including elderly patients. |
format | Online Article Text |
id | pubmed-4823576 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-48235762016-04-18 A case report of successful permanent pacemaker implantation via the iliac vein Yamaguchi, Tetsuo Miyamoto, Takamichi Yamauchi, Yasuteru Obayashi, Tohru J Arrhythm Rapid Firing An 85-year-old man was referred to our hospital with a pacemaker pocket infection. A permanent pacemaker had been implanted via the right subclavian vein. The pacemaker and pacing leads were removed and a temporary pacemaker was implanted. After vancomycin treatment for 4 weeks, pacemaker implantation via the right external iliac vein was performed under local anesthesia because of left subclavian vein occlusion, infection of the right pocket, and difficulty with epicardial lead insertion. The iliac vein approach is an effective alternative in patients in whom the pectoral approach cannot be used. Learning objective: Permanent pacemaker implantation using the conventional pectoral approach is impossible or contraindicated in 1–6% of patients. In such patients, implantation via the iliac vein is considered an effective alternative. The advantages of this approach are that the wound size and bleeding amount are very small and that it can be performed under local anesthesia. Therefore, this approach can be used in patients with a poor general condition, including elderly patients. Elsevier 2016-04 2015-11-11 /pmc/articles/PMC4823576/ /pubmed/27092198 http://dx.doi.org/10.1016/j.joa.2015.08.004 Text en © 2015 Japanese Heart Rhythm Society. Published by Elsevier B.V. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Rapid Firing Yamaguchi, Tetsuo Miyamoto, Takamichi Yamauchi, Yasuteru Obayashi, Tohru A case report of successful permanent pacemaker implantation via the iliac vein |
title | A case report of successful permanent pacemaker implantation via the iliac vein |
title_full | A case report of successful permanent pacemaker implantation via the iliac vein |
title_fullStr | A case report of successful permanent pacemaker implantation via the iliac vein |
title_full_unstemmed | A case report of successful permanent pacemaker implantation via the iliac vein |
title_short | A case report of successful permanent pacemaker implantation via the iliac vein |
title_sort | case report of successful permanent pacemaker implantation via the iliac vein |
topic | Rapid Firing |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823576/ https://www.ncbi.nlm.nih.gov/pubmed/27092198 http://dx.doi.org/10.1016/j.joa.2015.08.004 |
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