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  1. Mohd Said MR, Gian Singh SS, Chea CY, Mohd Firdaus MAB, Narasamuloo KR, Krishinan S
    Med J Malaysia, 2022 Jan;77(1):119-120.
    PMID: 35087011
    The rate of infected Cardiovascular Implantable Electronic Device is alarming and causes substantial socio-economic burden. A common approach involves immediate extraction of the infected device. Here, we report an unorthodox approach to this problem by 'sealing' the generator inside a sterile container as a temporary permanent pacemaker while waiting for implantation of another device. We report a 66 years old emaciated lady with underlying Sick Sinus Syndrome, who had an implanted single chamber pacemaker and presented with partial protrusion of her device. She underwent sub-pectoral implantation of the new device but subsequently re-presented with pocket site infection after a month. A decision was made to extract the infected generator from the sub-pectoral pocket and it was sealed inside a sterile container as 'bridging therapy' while awaiting arrival of a leadless pacemaker for implantation together with total extraction of the old infected device. Our clinical vignette demonstrated the difficulties we encountered and influenced on our decision for this unconventional approach despite limited supporting evidence.
  2. Mohd Said MR, Gian Singh SS, Lee KT, Khor LM, Chea CY, Silveraju AR, et al.
    J Arrhythm, 2021 Feb;37(1):251-253.
    PMID: 33664912 DOI: 10.1002/joa3.12485
    Our case illustrated zero-fluoroscopic approach on AVNRT ablation in a pregnant lady.
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