Why the study?
What are the clinical outcomes of antibiotic management in patients with CIED infections and remnant lead tips after extraction?
What are the clinical outcomes of antibiotic management in patients with CIED infections and remnant lead tips after extraction?
In a small case series of patients with CIED infections and remnant lead tips after extraction, prolonged antibiotic therapy was associated with a low rate of infection resurgence.
Prolonged antibiotics were associated with low resurgence in this series; leaves open optimal remnant lead management pending prospective data.
Complete hardware removal is recommended in the case of patients with cardiovascular implantable electronic device (CIED) infections. However, the complete extraction of chronically implanted leads is not always achieved. The outcomes and optimal management of CIED infections with retained material after lead extractions have not been elucidated. In this case report, we present five patients with CIED infections with remnant lead tips even after lead extractions. Two patients had localized pocket infections, and were managed with antibiotics for a period of more than two weeks. The other three patients had infective endocarditis, and were managed with antibiotics for a period of more than four weeks. In one patient, the lead tip migrated to the right pulmonary artery, but did not produce any symptoms or complications. Only one of five patients experienced a resurgence of an infection.
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Kim et al. (2016) studied this question.
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