Journal de radiologie OMICS

Abstrait

Complicative Extraction Lead of an Infected Pacemaker

Clara Bonanad, Maite Izquierdo, Angel Ferrero, Angel Martínez, Juan Miguel Sánchez and Ricardo Ruiz-Granell

Endocarditis in Cardiac Devices (CD), either permanent pacemakers or implantable cardioverter defibrillators, is a severe disease associated with high mortality. The increasing number of patients with implanted cardiac devices explains the rising frequency of endocarditis. The treatment includes medical therapy with complete removal of CD either by surgery or percutaneous extraction depending on the size of vegetation, but there are no clear guidelines about the management of patient with intermediate size vegetations and significant associated comorbidity. We present a case of a 69 year-old man with significant comorbidity and dilated ischemic cardiomyopathy with moderately depressed Left Ventricular Ejection Fraction (LVEF), with a single pass VDD pacemaker presenting with adhered vegetation in the auricular surface of the lead.Endocarditis in Cardiac Devices (CD), either permanent pacemakers or implantable cardioverter defibrillators, is a severe disease associated with high mortality. The increasing number of patients with implanted cardiac devices explains the rising frequency of endocarditis. The treatment includes medical therapy with complete removal of CD either by surgery or percutaneous extraction depending on the size of vegetation, but there are no clear guidelines about the management of patient with intermediate size vegetations and significant associated comorbidity. We present a case of a 69 year-old man with significant comorbidity and dilated ischemic cardiomyopathy with moderately depressed Left Ventricular Ejection Fraction (LVEF), with a single pass VDD pacemaker presenting with adhered vegetation in the auricular surface of the lead.