PET/CT imaging is crucial for guiding surgical decisions in managing chronic infections and embedded lead fragments in ICED cases, enhancing patient outcomes.
18F-FDG PET/CT effectively guides the surgical extraction of chronically infected, embedded ICD lead fragments when transesophageal echocardiography is contraindicated.
Absolute Event Rate: 0% vs 0%
ABSTRACT Residual implantable cardiac electronic device (ICED) leads pose a significant infection risk, necessitating a multimodal diagnostic and therapeutic approach. This case highlights the critical role of PET/CT imaging in guiding surgical decision‐making, particularly in cases of chronic infections with embedded or fractured lead fragments. While percutaneous extraction may be incomplete, surgical intervention under cardiopulmonary bypass is often required for definitive management. Early identification of residual infected material is essential to prevent recurrent sepsis and optimize patient outcomes. A comprehensive strategy integrating advanced imaging, targeted antimicrobial therapy, and surgical expertise is key to successfully managing complex ICED‐related infections.
Khallikane et al. (Thu,) reported a other. PET/CT imaging is crucial for guiding surgical decisions in managing chronic infections and embedded lead fragments in ICED cases, enhancing patient outcomes.