Cardiac implantable electronic device infection occurs in approximately 1% of patients at 12 months and is driven by technical, patient, and periprocedural risk factors.
What are the incidence and risk factors for cardiac implantable electronic device (CIED) infections?
CIED infections occur in approximately 1% of patients at 12 months and are driven by a combination of technical, patient, and procedural factors that can be risk-stratified using tools like the PADIT score.
Cardiac implantable electronic device (CIED) infection is a potentially devastating complication of CIED procedures, causing significant morbidity and mortality for patients. Of all CIED complications, infection has the greatest impact on mortality, requirement for re-intervention and additional hospital treatment days. Based on large prospective studies, the infection rate at 12-months after a CIED procedure is approximately 1%. The risk of CIED infection may be related to several factors which should be considered with regards to risk minimization. These include technical factors, patient factors, and periprocedural factors. Technical factors include the number of leads and size of generator, the absolute number of interventions which have been performed for the patient, and the operative approach. Patient factors include various non-modifiable underlying comorbidities and potentially modifiable transient conditions. Procedural factors include both peri-operative and post-operative factors. The contemporary PADIT score, derived from a large cohort of CIED patients, is useful for the prediction of infection risk. In this review, we summarize the key information regarding epidemiology, incidence and risk factors for CIED infection.
Han et al. (Sat,) conducted a review in Cardiac implantable electronic device (CIED) infection. Cardiac implantable electronic device (CIED) procedures was evaluated on CIED infection. Cardiac implantable electronic device infection occurs in approximately 1% of patients at 12 months and is driven by technical, patient, and periprocedural risk factors.
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