Management of Cardiac Implantable Electronic Devices removal with cardiopulmonary bypass: A single center experience

Authors : Timucin AKSU, Cigdem TEL USTUNİSİK

Pages : 187-193

Doi:10.5798/dicletip.1313291

View : 27 | Download : 25

Publication Date : 2023-06-12

Article Type : Research Paper

Abstract :Backround: Currently, permanent pacemakers and internal defibrillators are widely used as a result of technological developments. Infection and dysfunction are the most important reasons for removing these devices from patients. Transvenous removal of these devices is the first recommended method. Failure of transvenous methods, presence of endocarditis, large vegetation or thrombus requires the use of surgical methods to remove these devices. In this study, our purpose is to present our management in surgical removal of cardiac implantable electronic devices insert ignore into journalissuearticles values(CIED);. Methods: Between June 2017 and October 2019, 667 CIED were implanted and 10 patients underwent surgical removal of CIED in our hospital. The demographic data of the patients were obtained from the polyclinic files and the hospital registration system. Results: Eight insert ignore into journalissuearticles values(80%); patients were male and the mean age was 55.3±16.4 years insert ignore into journalissuearticles values(22.0-77.0);. Complete pacemaker system removal was decided by the heart team in all cases. In 4 patients, permanent pacemaker reimplantation was required intraoperatively. Conclusion: CIED infection is a serious disease associated with high mortality. For this reason, we believe that it should be beneficial to consider the long-term results in determining permanent pacemaker and internal defibrillator indications.
Keywords : Cardiac implantable electronic device, cardiopulmonary bypass, cardiac pacemaker