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Clinical report demonstrates long-term survival after conservative therapy for pacemaker infection, highlighting outcomes despite standard device removal guidelines.
Infection of a cardiac implantable electrophysiological device (CIED) is a life-threatening condition. The prevalence of CIED-related infections is reportedly around 1.0% and continues to increase.1 CIED-related infections are not limited to generator pocket infections; in some cases, blood stream infections (bacteremia, lead infection or endocarditis) may occur, resulting in mortality.2 The mortality and recurrence rates are higher with conservative management, so complete CIED removal is strongly recommended.
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Kashiwagi et al. (2024) studied this question.
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