Diagnosis of cardiac device-related infective endocarditis after device removal

JACC. Cardiovascular Imaging
Yvan Le DolleyGilbert Habib

Abstract

We sought to determine the incidence, diagnostic value, and outcome of intracardiac masses observed by echocardiography after device removal. We hypothesized that these "ghosts" of leads could be associated with the diagnosis of cardiac device-related infective endocarditis (CDRIE). The echocardiographic appearance of residual floating masses in the right atrium after removal of permanent pacemakers and implantable cardioverter-defibrillators was recently described. However, the significance of these ghosts and their relationship with CDRIE are unknown. The pre-operative clinical, microbiological, and echocardiographic conditions; the indication; and the removal technique were analyzed in a retrospective cohort including all consecutive patients who underwent percutaneous lead removal. Three groups were formed according to the final diagnosis: CDRIE, local device infection, and noninfectious indications. The incidence of ghosts was compared among the 3 groups. All clinical, infectious, and extraction-related factors were studied for their association with ghosts. All patients with ghosts were followed after hospitalization. Two hundred twelve patients underwent lead removal. Ghosts were observed in 17 patients (8% incidence), i...Continue Reading

References

Aug 1, 1979·The American Journal of Cardiology·G MorganA Leatham
Feb 1, 1986·The American Journal of Medicine·M J RobbinsJ A Strom
Apr 1, 1993·Journal of the American College of Cardiology·J A San RománL Sánchez-Harguindey
Apr 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T B FergusonP Crimmins-Reda
Mar 22, 2002·The New England Journal of Medicine·Arthur J MossUNKNOWN Multicenter Automatic Defibrillator Implantation Trial II Investigators
Sep 5, 2002·Journal of Biomedical Materials Research·Marco EspositoPeter Thomsen
Mar 9, 2005·The New England Journal of Medicine·John G F ClelandUNKNOWN Cardiac Resynchronization-Heart Failure (CARE-HF) Study Investigators
Feb 16, 2006·JAMA : the Journal of the American Medical Association·Zachary Goldberger, Rachel Lampert
Apr 12, 2006·Pacing and Clinical Electrophysiology : PACE·Elfriede RuttmannHerwig Antretter
Jan 5, 2007·Pacing and Clinical Electrophysiology : PACE·Sydney L GaynorMarc R Moon
Mar 8, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Samuel O JonesLaurence M Epstein
Jul 25, 2008·Echocardiography·Maria Grazia BongiorniMario Marzilli
Jul 1, 1995·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·K StokesC McClay

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Citations

Nov 14, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jennifer CautelaJean-Claude Deharo
Aug 1, 2013·European Heart Journal·Niels Eske BruunPeter Sogaard
Jun 12, 2014·Current Treatment Options in Cardiovascular Medicine·Jeffrey Brinker
Oct 17, 2015·Expert Review of Cardiovascular Therapy·Isidre VilacostaAlberto San Román
Jun 26, 2012·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·José Alberto San RománMaría J Rollán
Jun 5, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Martin AndreasCesar Khazen
Jan 23, 2014·Journal of Cardiovascular Electrophysiology·Sandeep K GoyalJeffrey Rottman
Mar 31, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maria Lucia NarducciFilippo Crea
Feb 26, 2013·Journal of the American College of Cardiology·Jayanthi N Koneru, Kenneth A Ellenbogen
Oct 18, 2016·The Lancet Infectious Diseases·Anna GomesBhanu Sinha
Dec 3, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Ugur Canpolat
Oct 12, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Anna PolewczykAndrzej Kutarski
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Igor DiembergerGiuseppe Boriani
Apr 26, 2019·European Heart Journal. Case Reports·Riccardo BentivegnaAntonella Moreo
Feb 25, 2017·Current Infectious Disease Reports·Bernard IungXavier Duval
Sep 22, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maria Lucia NarducciFilippo Crea
Dec 12, 2018·Echocardiography·Azin AlizadehaslMajid Haghjoo
Aug 31, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Karel T N BreemanReinoud E Knops

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