Treatment of patients with recurrent or persistent infection of cardiac implantable electronic devices

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
Ludmilla KniginaMaximilian Pichlmaier

Abstract

Increasing rates of bacterial infections in device therapy of cardiac rhythm disturbances pose a clinical problem. Radical surgical treatment yields the best long-term results but is frequently preceded by conservative treatment or limited surgical procedures leading to an unnecessary long treatment course. Recurrence/persistence of infection then potentially poses an even more serious clinical problem. A total of 192 consecutive explantation procedures were performed for cardiac implantable electronic device (CIED) infections over a 10 year period. Forty-nine cases followed recurrence of infection subsequent to prior surgical treatment for device infection. Differences in patient/disease characteristics and outcome were looked for in recurrent as compared to primary infections (referral mode) to identify a potential requirement for adjusting treatment in recurrence. With a minimum follow-up of 24 months, 98% eradication of infection was observed independent of referral mode. Differences between primary and recurrent infection essentially reflected the primary presenting clinical picture-chronic smouldering vs. acute systemic infection. Various parameters that follow from this differentiation are significantly different between...Continue Reading

References

Jul 1, 1993·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·C CamusJ L Vilde
Nov 21, 2002·Zeitschrift für Kardiologie·Wolfgang HemmerUNKNOWN Herausgegeben vom Vorstand der Deutschen Gesellschaft für Kardiologie- Herz- und Kreislaufforschung, Barbeitet im Auftrag de
Oct 14, 2003·Chest·Ana del RíoUNKNOWN Hospital Clínic Endocarditis Study Group
May 18, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ardawan Julian RastanFriedrich Wilhelm Mohr
Jun 29, 2006·Current Opinion in Infectious Diseases·Daniel Z Uslan, Larry M Baddour
Aug 1, 2006·Journal of the American College of Cardiology·Andrew VoigtSamir Saba
Apr 11, 2007·Heart, Lung & Circulation·Andrei CatanchinEugene Athan
Apr 11, 2007·Archives of Internal Medicine·Daniel Z UslanLarry M Baddour
Oct 19, 2007·Nature·Martin J Blaser, Denise Kirschner
Oct 8, 2009·Circulation. Arrhythmia and Electrophysiology·Timir S BamanElina Yamada

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Citations

Aug 26, 2010·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·Uwe K H Wiegand
Jan 1, 2011·Medical Devices : Evidence and Research·Luigi PadelettiAntonio Curnis
Aug 10, 2013·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·Georg MarschChristian Kuehn
Jan 30, 2016·Nature Reviews. Cardiology·Oussama Wazni, Bruce L Wilkoff
Jun 28, 2011·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Katherine Y LeUNKNOWN Mayo Cardiovascular Infections Study Group
Jul 12, 2013·Medicine, Science, and the Law·C D'OvidioA Carnevale
Jul 31, 2018·Pacing and Clinical Electrophysiology : PACE·Haixia FuYong-Mei Cha
Jul 19, 2018·Deutsches Ärzteblatt International·Michael DöringGerhard Hindricks

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