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(Chest. 1968;54:514-517.)
© 1968 American College of Chest Physicians

Catheter Extrusion with Infection Complicating Permanent Endocardial Pacing

An Unusual Complication Reported in Three Cases

Edward L. Schwartz M.D., F.C.C.P.1; Phillip Crastnopol M.D., F.C.C.P.1; and Robert I. Hamby M.D., F.C.C.P.1

1 Departments of Medicine and Thoracic Surgery, The Long Island Jewish Hospital-Queens Hospital Center Affiliation and The Long Island Jewish Hospital, Queens, New York

Three cases of erosion and extrusion of a pacemaker catheter with infection are reported. Treatment consisted of removing the infected catheter without delay and administering systemic antibiotics. Local antibiotics did not prevent septicemia and resultant death in one patient. Modification of our original technique by employing the cephalic vein below the clavicle or implanting the catheter behind the clavicle when the external jugular vein is employed has prevented this complication.






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Copyright © 1968 by the American College of Chest Physicians.