Key result
Complete percutaneous extraction and appropriate antibiotics remain the main pillars of CIED infection treatment.
Why the study?
Cardiac implantable electronic device infection causes significant morbidity and mortality without appropriate treatment, presenting in various clinical scenarios that require tailored therapy.
Complete percutaneous CIED extraction and appropriate antibiotic therapy are the mainstays of treatment for CIED infections to reduce morbidity and mortality.
Supports extraction plus antibiotics for CIED infections; confirms consensus while leaving optimal protocols open for trials.
Cardiac implantable electronic device (CIED) infection causes significant morbidity and mortality without appropriate treatment. It can present as incisional infection, pocket infection, systemic CIED infection, or occult bacteraemia. Complete percutaneous CIED extraction (excepted in case of incisional infection) and appropriate antibiotic therapy are the two main pillars of therapy. Device reimplantation, if needed, should be delayed sufficiently to allow control of the infection. Here, we address the differences in prognosis according to the clinical scenario and the different treatment options.
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Perrin et al. (2021) studied this question. Complete percutaneous device extraction and appropriate antibiotic therapy are the main pillars of treatment for cardiac implantable electronic device infections.
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