Transvenous cardiac implantable electronic devices and hemodialysis catheters: recommendations to curtail a potentially lethal combination

Seminars in Dialysis
Arif AsifRoger Carrillo

Abstract

Abnormal renal function is an independent risk factor for cardiac implantable electronic device (CIED) infection. The risk of CIED infection increases as the degree of renal dysfunction worsens with the highest risk observed in patients with stage V chronic kidney disease. A significant portion of these patients use a tunneled hemodialysis catheter (TDC) for dialysis therapy. These devices are associated with very high rates of catheter-related bacteremia (1.6-5.5 episodes of bacteremia per 1000 catheter days), and have been known to cause infection of CIED indwelling in the bloodstream. In this context, the cardiac device is exposed to the risk of infection due to the presence of renal failure and episodes of bacteremia related to TDCs. Both increase the risk of CIED infection. Once infected, a cardiac rhythm device carries a marked increase in morbidity and mortality. In this context, the combination of a TDC and a CIED indwelling in the bloodstream becomes a potentially deadly combination. Recent data have emphasized that epicardial CIED implantation reduces cardiac device infection in TDC patients. This report highlights the risk of CIED infection in renal patients, presents TDC's contribution to the cardiac device infectio...Continue Reading

References

Dec 1, 1985·American Heart Journal·R B LemanP C Gazes
Jan 1, 1968·Medicine·J Z MontgomerieL B Guze
Jun 1, 1997·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·T HanslikA Baglin
May 22, 1998·Journal of the American Society of Nephrology : JASN·B HoenM Kessler
Feb 4, 1999·AJR. American Journal of Roentgenology·G X ZaleskiJ A Leef
Feb 23, 1999·Kidney International·N R PoweW Briggs
Feb 17, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·B G JaarN R Powe
Sep 25, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Elizabeth L HannahJon P Wagnild
Nov 28, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Juan Fernández-CeanMercedes Cha
Sep 24, 2004·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·J Ernesto Molina
Feb 24, 2006·Pacing and Clinical Electrophysiology : PACE·Heather BloomJonathan Langberg
Jul 4, 2006·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·UNKNOWN Vascular Access 2006 Work Group
Apr 11, 2007·Archives of Internal Medicine·Daniel Z UslanLarry M Baddour
Mar 12, 2008·Expert Review of Medical Devices·Daniel Z Uslan
Apr 29, 2008·Pacing and Clinical Electrophysiology : PACE·Arnold J GreensponReginald T Ho
Nov 13, 2008·Seminars in Dialysis·Gerald A Beathard, Aris Urbanes
Jun 11, 2009·Journal of Cardiovascular Medicine·Matteo AnselminoPier Giorgio Golzio
Sep 18, 2009·Hemodialysis International·Robert N FoleyAllan J Collins
Feb 17, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Gorav AilawadiSrijoy Mahapatra
Apr 7, 2010·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Roger G CarrilloArif Asif
May 14, 2010·The New England Journal of Medicine·Gust H BardyAndrew A Grace
Oct 15, 2010·The New England Journal of Medicine·Laszlo BugaJohn G Cleland
Jan 25, 2011·Clinical Nephrology·R G CarrilloA Asif
Apr 15, 2011·Journal of Cardiovascular Electrophysiology·Christine TompkinsCharles A Henrikson
Jun 15, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·David A DrewDaniel E Weiner
Jun 15, 2011·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·David M CharytanWolfgang C Winkelmayer
Sep 1, 2011·Circulation. Cardiovascular Quality and Outcomes·Vivian TsaiUNKNOWN National Cardiovascular Data's ICD Registry

❮ Previous
Next ❯

Citations

Aug 16, 2012·Seminars in Dialysis·Theodore F SaadUNKNOWN ASDIN Clinical Practice Committee Workgroup
Jan 16, 2016·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Eduard KomanSteven P Kutalek
Jul 5, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Gareth J PadfieldAndrew D Krahn
Jan 7, 2014·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·LaTonya J HicksonM Rizwan Sohail
Jun 26, 2015·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·Giuseppe BorianiUNKNOWN Document reviewers
Apr 26, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Rajiv K DhamijaArif Asif
Oct 25, 2016·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Vinay Narasimha KrishnaMichael Allon
Nov 26, 2016·The Journal of Vascular Access·Dharmendra BhadauriaNarayan Prasad
Jun 24, 2017·Hemodialysis International·Tushar J VachharajaniArif Asif
Jan 30, 2020·Health Services Research·Linda J Scheetz, John P Orazem
Apr 5, 2020·Journal of the American Geriatrics Society·Laura C BlomaardSimon P Mooijaart
Jun 28, 2019·Trauma Surgery & Acute Care Open·Amund Hovengen RingenPaal Aksel Naess

❮ Previous
Next ❯

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Related Papers

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Allan J CollinsLawrence Agodoa
© 2022 Meta ULC. All rights reserved