A Case of Successful Management of Infected Device by Excimer Laser and Dual Chamber Temporary Pacing

Akihito Miyoshi, Nobuhiro Nishii, Motoki Kubo, Koji Nakagawa, Masamichi Tanaka, Satoshi Nagase, Hiroshi Morita, Kengo Kusano, Hiroshi Ito, Masami Takagaki, Shunji Sano, Morio Shoda

Research output: Contribution to journalArticle

Abstract

A case is 77-year-old male. He was implanted dual chamber pacemaker due to complete atrioventricular block from left side in 1999. In 2006, he was referred to our hospital due to sustained ventricular tachycardia and left ventricular dysfunction. After several examinations, he was diagnosed as cardiac sarcoidosis and implanted cardiac resynchronization therapy with defibrillator (CRTD) from right side, because new lead could not pass between superior vena cava and innominate vein. In 2008, the scar on right side became reddish and swelling. We opened the scar, but we could not detect active infection. Then, we implanted new generator under right pectoral muscle. However, in 2011, he was diagnosed as pocket infection on right side without bacteremia and we extracted all 5 leads by Excimer laser. The pathogenic bacteria was Staphylococcus epidermidis. Because the patient was completely dependent on CRTD, single right ventricular pacing could not maintain hemodynamic. Then we employed dual chamber temporary pacing, which could maintain hemodynamic. Two weeks later, he was implanted new CRTD under left pectoral muscle. During follow up, any sign of device infection has not been appeared so far.

Original languageEnglish
Pages (from-to)236
Number of pages1
JournalJournal of Arrhythmia
Volume27
Issue number4
DOIs
Publication statusPublished - 2011

Fingerprint

Excimer Lasers
Cardiac Resynchronization Therapy
Defibrillators
Case Management
Pectoralis Muscles
Equipment and Supplies
Cicatrix
Infection
Hemodynamics
Brachiocephalic Veins
Superior Vena Cava
Staphylococcus epidermidis
Atrioventricular Block
Left Ventricular Dysfunction
Ventricular Tachycardia
Sarcoidosis
Bacteremia
Bacteria

Keywords

  • device infection
  • dual chamber temporary pacing
  • excimer laser

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

A Case of Successful Management of Infected Device by Excimer Laser and Dual Chamber Temporary Pacing. / Miyoshi, Akihito; Nishii, Nobuhiro; Kubo, Motoki; Nakagawa, Koji; Tanaka, Masamichi; Nagase, Satoshi; Morita, Hiroshi; Kusano, Kengo; Ito, Hiroshi; Takagaki, Masami; Sano, Shunji; Shoda, Morio.

In: Journal of Arrhythmia, Vol. 27, No. 4, 2011, p. 236.

Research output: Contribution to journalArticle

Miyoshi, Akihito ; Nishii, Nobuhiro ; Kubo, Motoki ; Nakagawa, Koji ; Tanaka, Masamichi ; Nagase, Satoshi ; Morita, Hiroshi ; Kusano, Kengo ; Ito, Hiroshi ; Takagaki, Masami ; Sano, Shunji ; Shoda, Morio. / A Case of Successful Management of Infected Device by Excimer Laser and Dual Chamber Temporary Pacing. In: Journal of Arrhythmia. 2011 ; Vol. 27, No. 4. pp. 236.
@article{402d4175545d4a80b86cd98228eacaa2,
title = "A Case of Successful Management of Infected Device by Excimer Laser and Dual Chamber Temporary Pacing",
abstract = "A case is 77-year-old male. He was implanted dual chamber pacemaker due to complete atrioventricular block from left side in 1999. In 2006, he was referred to our hospital due to sustained ventricular tachycardia and left ventricular dysfunction. After several examinations, he was diagnosed as cardiac sarcoidosis and implanted cardiac resynchronization therapy with defibrillator (CRTD) from right side, because new lead could not pass between superior vena cava and innominate vein. In 2008, the scar on right side became reddish and swelling. We opened the scar, but we could not detect active infection. Then, we implanted new generator under right pectoral muscle. However, in 2011, he was diagnosed as pocket infection on right side without bacteremia and we extracted all 5 leads by Excimer laser. The pathogenic bacteria was Staphylococcus epidermidis. Because the patient was completely dependent on CRTD, single right ventricular pacing could not maintain hemodynamic. Then we employed dual chamber temporary pacing, which could maintain hemodynamic. Two weeks later, he was implanted new CRTD under left pectoral muscle. During follow up, any sign of device infection has not been appeared so far.",
keywords = "device infection, dual chamber temporary pacing, excimer laser",
author = "Akihito Miyoshi and Nobuhiro Nishii and Motoki Kubo and Koji Nakagawa and Masamichi Tanaka and Satoshi Nagase and Hiroshi Morita and Kengo Kusano and Hiroshi Ito and Masami Takagaki and Shunji Sano and Morio Shoda",
year = "2011",
doi = "10.4020/jhrs.27.PJ1_105",
language = "English",
volume = "27",
pages = "236",
journal = "Journal of Arrhythmia",
issn = "1880-4276",
publisher = "Elsevier BV",
number = "4",

}

TY - JOUR

T1 - A Case of Successful Management of Infected Device by Excimer Laser and Dual Chamber Temporary Pacing

AU - Miyoshi, Akihito

AU - Nishii, Nobuhiro

AU - Kubo, Motoki

AU - Nakagawa, Koji

AU - Tanaka, Masamichi

AU - Nagase, Satoshi

AU - Morita, Hiroshi

AU - Kusano, Kengo

AU - Ito, Hiroshi

AU - Takagaki, Masami

AU - Sano, Shunji

AU - Shoda, Morio

PY - 2011

Y1 - 2011

N2 - A case is 77-year-old male. He was implanted dual chamber pacemaker due to complete atrioventricular block from left side in 1999. In 2006, he was referred to our hospital due to sustained ventricular tachycardia and left ventricular dysfunction. After several examinations, he was diagnosed as cardiac sarcoidosis and implanted cardiac resynchronization therapy with defibrillator (CRTD) from right side, because new lead could not pass between superior vena cava and innominate vein. In 2008, the scar on right side became reddish and swelling. We opened the scar, but we could not detect active infection. Then, we implanted new generator under right pectoral muscle. However, in 2011, he was diagnosed as pocket infection on right side without bacteremia and we extracted all 5 leads by Excimer laser. The pathogenic bacteria was Staphylococcus epidermidis. Because the patient was completely dependent on CRTD, single right ventricular pacing could not maintain hemodynamic. Then we employed dual chamber temporary pacing, which could maintain hemodynamic. Two weeks later, he was implanted new CRTD under left pectoral muscle. During follow up, any sign of device infection has not been appeared so far.

AB - A case is 77-year-old male. He was implanted dual chamber pacemaker due to complete atrioventricular block from left side in 1999. In 2006, he was referred to our hospital due to sustained ventricular tachycardia and left ventricular dysfunction. After several examinations, he was diagnosed as cardiac sarcoidosis and implanted cardiac resynchronization therapy with defibrillator (CRTD) from right side, because new lead could not pass between superior vena cava and innominate vein. In 2008, the scar on right side became reddish and swelling. We opened the scar, but we could not detect active infection. Then, we implanted new generator under right pectoral muscle. However, in 2011, he was diagnosed as pocket infection on right side without bacteremia and we extracted all 5 leads by Excimer laser. The pathogenic bacteria was Staphylococcus epidermidis. Because the patient was completely dependent on CRTD, single right ventricular pacing could not maintain hemodynamic. Then we employed dual chamber temporary pacing, which could maintain hemodynamic. Two weeks later, he was implanted new CRTD under left pectoral muscle. During follow up, any sign of device infection has not been appeared so far.

KW - device infection

KW - dual chamber temporary pacing

KW - excimer laser

UR - http://www.scopus.com/inward/record.url?scp=85009539414&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009539414&partnerID=8YFLogxK

U2 - 10.4020/jhrs.27.PJ1_105

DO - 10.4020/jhrs.27.PJ1_105

M3 - Article

AN - SCOPUS:85009539414

VL - 27

SP - 236

JO - Journal of Arrhythmia

JF - Journal of Arrhythmia

SN - 1880-4276

IS - 4

ER -