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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...

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Autores principales: Yamaguchi, Tetsuo, Miyamoto, Takamichi, Yamauchi, Yasuteru, Obayashi, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
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.
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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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