Abstract
Background
Implantation of pacemakers and implantable cardioverter-defibrillators (ICDs) can be complicated by infection and device erosion. It is unclear if the clinical features of patients who have device erosion differ from those without erosion.
Methods
We retrospectively examined the records of all patients referred for explantation of a pacemaker or defibrillator from January 2000 to May 2005. We examined demographic variables including age, gender, and body mass index (BMI) as well as clinical variables related to erosion and procedural variables.
Results
Seventy-two patients with infected pacemakers or ICDs were identified. Of these cases, 30 (42%) developed infection complicated by erosion, of which 8/28 (29%) were related to ICDs, and 22/44 (50%) were related to pacemakers.
Conclusions
Device erosion was significantly associated with the presence of a non-systemic infection as opposed to cases without erosion. This finding may have implications in the timing of device re-implantation.
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References
Chua, J. D., Wilkoff, B. L., Lee, I., Juratli, N., Longworth, D. L., & Gordon, S. M. (2000). Diagnosis and management of infections involving implantable electrophysiologic cardiac devices. Annals of Internal Medicine, 133(8), 604–608.
Cabell, C. H., Heidenreich, P. A., Chu, V. H., et al. (2004). Increasing rates of cardiac device infections among Medicare beneficiaries: 1990–1999. American Heart Journal, 147(4), 582–586.
Spratt, K. A., Blumberg, E. A., Wood, C. A., Kutalek, S. P., & Reboli, A. C. (1993). Infections of implantable cardioverter defibrillators: Approach to management. Clinical Infectious Diseases, 17(4), 679–685.
Trappe, H. J., Pfitzner, P., Klein, H., & Wenzlaff, P. (1995). Infections after cardioverter-defibrillator implantation: Observations in 335 patients over 10 years. British Heart Journal, 73(1), 20–24.
Karchmer, A. W., & Longworth, D. L. (2002). Infections of intracardiac devices. Infectious Disease Clinics of North America, 16(2), 477–505, xii.
Uslan, D. Z., & Baddour, L. M. (2006). Cardiac device infections: Getting to the heart of the matter. Current Opinion in Infectious Diseases, 19(4), 345–348.
Dy Chua, J., Abdul-Karim, A., Mawhorter, S., et al. (2005). The role of swab and tissue culture in the diagnosis of implantable cardiac device infection. Pacing and Clinical Electrophysiology, 28(12), 1276–1281.
Nguyen, A. Q., Choong, N. W., Spittell, P. C. (2003). 28-year-old man with recurrent fever. Mayo Clinic Proceedings, 78(7), 897–900.
Mounsey, J. P., Griffith, M. J., Tynan, M., et al. (1994). Antibiotic prophylaxis in permanent pacemaker implantation: A prospective randomised trial. British Heart Journal, 72(4), 339–343.
Mounsey, J. P., Griffith, M. J., & Bexton, R. S. (1995). Antibiotic prophylaxis in permanent pacemaker implantation. British Heart Journal, 74(2), 206.
Da Costa, A., Kirkorian, G., Cucherat, M., et al. (1998). Antibiotic prophylaxis for permanent pacemaker implantation: A meta-analysis. Circulation, 97(18), 1796–1801.
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Tsai, V., Chen, H., Hsia, H. et al. Cardiac device infections complicated by erosion. J Interv Card Electrophysiol 19, 133–137 (2007). https://doi.org/10.1007/s10840-007-9143-8
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DOI: https://doi.org/10.1007/s10840-007-9143-8