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Question:

How might my pacemaker pocket infection be handled?

Have 2 month old pacemaker pocket infection. No fever; no fluid around pocket; no blood involvement, no skin erosion but skin has adhered to device in small area around leads. Removal of PM and leads will be VERY difficult. What are chances of success with cleaning pocket, salvaging leads and moving pocket to new location, and continuing antibiotics by IV?   

submitted by Fred from The Woodlands on 2/25/2013

Answer:

by Texas Heart Institute cardiologist, Ali Massumi, MD  

Ali Massumi, MDIf there was clear evidence of pacemaker pocket infection, then the pacemaker and the leads would eventually have to come out. Leads cannot be salvaged. If, on the other hand, there is just a simple and superficial problem with the skin over the pacemaker, then treatment would be much simpler.     

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Updated February 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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