Fungal Leadless Pacemaker Endocarditis Managed by Percutaneous Vacuum-Assisted Evacuation of Vegetation, Pacemaker Extraction, and Replacement
Leadless cardiac pacemakers (LCPs) mitigate the risks of traditional transvenous devices such as lead fracture and infection. Two LCPs are clinically available, using either a helix or tined active fixation approach. There are rare reports of LCP infection—all involving the tined device. We report t...
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| Veröffentlicht in: | JACC. Case reports 2024-10, Vol.29 (19), p.102586, Article 102586 |
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| container_title | JACC. Case reports |
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| creator | Jia, Kelly Q. Beerkens, Frans J. Zhang, Chi Itagaki, Shinobu Dukkipati, Srinivas Reddy, Vivek Y. Musikantow, Daniel R. |
| description | Leadless cardiac pacemakers (LCPs) mitigate the risks of traditional transvenous devices such as lead fracture and infection. Two LCPs are clinically available, using either a helix or tined active fixation approach. There are rare reports of LCP infection—all involving the tined device. We report the first pathologically confirmed fungal endocarditis involving a helix-based LCP. This was successfully managed by catheter-based mechanical vacuum evacuation of the vegetation, followed by device extraction and replacement.
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| doi_str_mv | 10.1016/j.jaccas.2024.102586 |
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| ispartof | JACC. Case reports, 2024-10, Vol.29 (19), p.102586, Article 102586 |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | fungal endocarditis leadless pacemaker Rhythm Disorders and Electrophysiology |
| title | Fungal Leadless Pacemaker Endocarditis Managed by Percutaneous Vacuum-Assisted Evacuation of Vegetation, Pacemaker Extraction, and Replacement |
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