Usefulness of transesophageal echocardiography for diagnosis of infected transvenous permanent pacemakers
- PMID: 8205682
- DOI: 10.1161/01.cir.89.6.2684
Usefulness of transesophageal echocardiography for diagnosis of infected transvenous permanent pacemakers
Abstract
Background: Transesophageal echocardiography is superior to transthoracic echocardiography in detecting left-sided valvular vegetations. There are no data on the value of transesophageal echocardiography in the diagnosis of infected transvenous permanent pacemakers.
Methods and results: Transthoracic and transesophageal echocardiography was performed in 10 patients for whom there was clinical suspicion of infected permanent transvenous pacemakers. Transthoracic echocardiography detected pacemaker lead vegetations in 2 patients, whereas transesophageal echocardiography visualized pacemaker lead vegetations in 7 patients. Surgical confirmation was obtained in 6 of these 7 patients. Most patients had more than one pacemaker electrode in place. Local complications at the generator pocket were present in 6 patients. Staphylococcus was the predominant causative organism.
Conclusions: Transesophageal echocardiography is superior to transthoracic echocardiography in the detection of pacemaker lead vegetations.
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