Detection of Pacemaker Lead Infection by Fluorodeoxyglucose Positron Emission Tomography

  • Miura Takashi
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Kinoshita Osamu
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Horigome Mitsuaki
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Kasai Hiroki
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Aizawa Kazunori
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Yoshioka Tohru
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Tomita Takeshi
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Kumazaki Setsuo
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Tsutsui Hiroshi
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Koyama Jun
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Yazaki Yoshikazu
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine
  • Ikeda Uichi
    The Division of Cardiovascular Medicine, Shinshu University School of Medicine

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Abstract

An 80-year-old man was implanted with a DDD pacemaker to treat his sick sinus syndrome in 1990. Eleven years later, he had a pocket infection and cutaneous inflammation. Blood cultures were negative, and 67Ga scintigraphy revealed uptake in the left subclavian region. However, intense abnormal fluorodeoxyglucose (FDG) uptake along the pacemaker leads was detected with positron emission tomography (PET). Thoracotomy was performed, vegetations were removed from the right atrial wall and the tricuspid leaflet, encapsulating fibrous tissue was incised, and the lead was removed from the right ventricle.

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