@article{Hafizullah_Iqbal_Gul_Jan_Hassan_2011, title={A NEW TECHNIQUE FOR TREATMENT OF PERMANENT PACEMAKER (PPM) EROSION}, volume={21}, url={https://www.jpmi.org.pk/index.php/jpmi/article/view/196}, abstractNote={<span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><span style="font-family: Times New Roman; color: #1f1a17; font-size: x-small;"><p>Objective: To evaluate the safety and efficacy of a new technique for treatment of late erosion and</p><p>infection of permanent pacemaker (PPM) system pocket.</p><p>Material and Methods: This retrospective observational study was conducted at Cardiology Department,</p><p>Lady Reading Hospital, Peshawar from 1994 to 2005 on patients presenting with eroded or near erosion</p><p>PPM. The operative procedure entailed formation of a new pocket medial and inferior to the old pocket</p><p>through a 3cm fresh incision. The old pocket was approached from below and pacemaker and lead were</p><p>mobilized. The pacemaker was then transported to the new pocket without exposure. The wound of newly</p><p>formed pocket was stitched. The exposed area of old pocket was left open with separate dressing. Transesophageal</p><p>echocardiography was done to exclude lead infection and endocarditis. All patients had culture</p><p>sensitivity of blood and material obtained from wound.</p><p>Results: Study included 26 patients, 12 females (46%) and 14 males (54%) with mean age 64 years + 12</p><p>years. The mean duration of PPM implant was 36 months + 18 months. The procedure was successful in</p><p>all patients. All were followed for minimum two years with no recurrence of infection. The procedure was</p><p>complicated in one patient who had transient asystole due to disconnection of lead. Local redness,</p><p>tenderness and ooze at old PPM site subsided rapidly.</p><p>Conclusion: This technique is clinically safe and effective and may be considered as an alternative to</p><p>complete removal of PPM system in selected patients.</p></span></span></span>}, number={3}, journal={Journal of Postgraduate Medical Institute}, author={Hafizullah, Muhammad and Iqbal, Zafar and Gul, Adnan Mahmood and Jan, Hikmatullah and Hassan, Mahmood ul}, year={2011}, month={Aug.} }