Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Nov 2006
Review Case ReportsPacemaker contact dermatitis: The effective use of a polytetrafluoroethylene sheet.
A 52-year-old man with Down's syndrome was implanted with a DDDR pacemaker for advanced atrioventricular block. He was admitted with development of skin eczema and partial exposure of the generator 1 year after reimplantation. ⋯ These findings indicated pacemaker contact dermatitis. After the patient was reimplanted with a pacemaker wrapped with a polytetrafluoroethylene sheet, there has been no recurrence of the contact dermatitis during a follow-up period of 3 years.
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Pacing Clin Electrophysiol · Nov 2006
Controlled Clinical TrialTransesophageal echocardiography in the diagnosis of thrombosis associated with permanent transvenous pacemaker electrodes.
We sought to assess the value of transesophageal echocardiography (TEE) in the diagnosis of PM-lead-associated central venous thrombi. ⋯ TEE is an excellent method to visualize electrodes within the RA and proximal SVC. Electrode-associated RA thrombi appear to be relatively common after PM implantation, and they may remain undetectable by venography or TTE. Although these thrombi are mostly asymptomatic, they can give rise to pulmonary embolism and should also be kept in mind in the differential diagnosis of endocarditis. TEE is the method of choice for the diagnosis of these lesions.