One-stage side-to-side replacement of infected cardiac pulse generators and leads resulted in 0 early or late infections at the new operative site across 68 consecutive cases.
Observational (n=68)
Does one stage side-to-side replacement prevent early or late infections of the new operative site in patients with infected cardiac pulse generators and leads?
One-stage side-to-side replacement of infected cardiac pulse generators and leads can be safely accomplished without early or late infections at the new operative site.
Infected and contaminated cardiac pulse generators and leads must be removed entirely in order to effect a cure. We have shown through our experience with 68 consecutive cases that explantation of the offending system and replacement of a new device on the opposite side can be safely accomplished in one sitting--a side-to-side replacement--as long as there is appropriate case selection. There were no early or late infections of the new operative site.
Nandyala et al. (Sat,) conducted a observational in Infected and contaminated cardiac pulse generators and leads (n=68). One-stage side-to-side replacement (explantation and contralateral reimplantation in one sitting) was evaluated on Early or late infections of the new operative site. One-stage side-to-side replacement of infected cardiac pulse generators and leads resulted in 0 early or late infections at the new operative site across 68 consecutive cases.