{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:38:08Z","timestamp":1785901088062,"version":"3.56.0"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T00:00:00Z","timestamp":1469577600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Leadless Cardiac Pacemaker Implantation After Lead Extraction<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Conventional pacemaker therapy is limited by short\u2010 and long\u2010term complications, most notably device infection. Transcatheter pacing systems (TPS) may be beneficial in this kind of patients as they eliminate the need for a device pocket and leads and thus may reduce the risk of re\u2010infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We assessed a novel procedure in 6 patients with severe device infection who were pacemaker dependent. After lead extraction a single chamber TPS was implanted into the right ventricle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 6 patients who underwent lead extraction due to severe device infection at our institution, 3 were diagnosed with a pocket infection only, whereas the other 3 showed symptoms of both pocket and lead infection. Successful lead extraction and TPS implantation was accomplished in all patients. Four patients were bridged with a temporary pacemaker between 2\u00a0hours and 2\u00a0days after lead extraction, whereas 2 patients had the TPS implanted during the same procedure just before traditional pacemaker system removal. All patients stayed free of infection during the follow\u2010up period of 12 weeks. An additional positron emission tomography scan was performed in each patient and indicated no signs of an infection around the TPS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Transcather pacemaker implantation was safe and feasible in 6 patients and did not result in re\u2010infection even if implanted before removal of the infected pacemaker system within the same procedure. Therefore, implantation of a TPS may be an option for patients with severe device infection, especially in those with blocked venous access or who are pacemaker dependent.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13030","type":"journal-article","created":{"date-parts":[[2016,6,14]],"date-time":"2016-06-14T09:30:20Z","timestamp":1465896620000},"page":"1067-1071","source":"Crossref","is-referenced-by-count":61,"title":["Leadless Cardiac Pacemaker Implantation After Lead Extraction in Patients With Severe Device Infection"],"prefix":"10.1111","volume":"27","author":[{"given":"ALEXANDER","family":"KYPTA","sequence":"first","affiliation":[{"name":"Department of Cardiology, Kepler University Hospital Linz Medical Faculty of the Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HERMANN","family":"BLESSBERGER","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kepler University Hospital Linz Medical Faculty of the Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JUERGEN","family":"KAMMLER","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kepler University Hospital Linz Medical Faculty of the Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"THOMAS","family":"LAMBERT","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kepler University Hospital Linz Medical Faculty of the Johannes Kepler University Linz  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL","family":"LICHTENAUER","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Clinic of Internal Medicine II Paracelsus Medical University of Salzburg  Salzburg 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