PMID: 9436558Jan 22, 1998Paper

Management of infected implantable cardiac defibrillators

The Annals of Thoracic Surgery
L E SamuelsS K Brockman

Abstract

The implantable cardiac defibrillator (ICD) was introduced clinically in 1980 for the management of ventricular arrhythmias. From January 31, 1989, through May 29, 1996, 329 ICD devices were implanted at Allegheny University Hospital, Hahnemann Division, Philadelphia, Pennsylvania. All device-related infections were examined. Fifteen patients (5%) experienced infection of the generator component of the ICD. There were 14 male and 1 female patients with a mean age of 62 years (range, 38 to 79 years). All infections involved the generator with or without other component involvement. Complete removal of the system was performed in 7 patients, partial removal in 5, and the entire system was left intact in 3. In 4 patients (27%), further procedures were performed to remove additional infection. Three patients (20%) died during the hospital stay. Infection of ICD devices is a devastating event. We favor complete removal of the ICD generator and all the components when possible. Partial removal of the ICD unit (ie, generator only) is reserved for patients in whom the risk of complete removal is too high and infection is confined to the generator only.

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Citations

Jun 25, 2002·The Annals of Thoracic Surgery·Marc R MoonMarye J Gleva
Feb 24, 2001·Pacing and Clinical Electrophysiology : PACE·M GeistP Dorian
Apr 12, 2013·Journal of Cardiothoracic Surgery·Jörg EberhardMeike Stiesch
Jan 5, 2007·Pacing and Clinical Electrophysiology : PACE·Sydney L GaynorMarc R Moon
Aug 14, 2012·Journal of Cardiovascular Electrophysiology·Gemma PelargonioAntonio Dello Russo
Feb 27, 2010·Journal of the American College of Cardiology·James D Maloney, James D Maloney
Oct 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDavid K Warren
Apr 13, 2004·American Heart Journal·Christopher H CabellVance G Fowler
Dec 7, 2016·Cardiology in Review·Ayman A Hussein, Bruce L Wilkoff
Aug 19, 2010·Circulation. Arrhythmia and Electrophysiology·Melanie MaytinCharles A Henrikson
Feb 5, 1999·Current Opinion in Cardiology·B K Kantharia, S P Kutalek
Jun 19, 2001·Journal of Biomedical Materials Research·P B van WachemM J van Luyn
Aug 1, 2016·JACC. Clinical Electrophysiology·Ayman A HusseinKhaldoun G Tarakji

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