What is the clinical evidence from this study?

Study design: Observational. Population: Severe device infection (n=6). Intervention: Transcatheter pacing system (TPS) implantation. Primary outcome: Successful lead extraction and TPS implantation, and freedom from infection.

What question did this study set out to answer?

This research aims to evaluate the feasibility of transcatheter pacing systems (TPS) in patients with severe pacemaker-related infections.

June 14, 2016Journal of Cardiovascular Electrophysiology

Leadless Cardiac Pacemaker Implantation After Lead Extraction in Patients With Severe Device Infection

View Full Paper

Ask AI

Bookmark

Key result

Transcatheter pacemaker implantation appears safe and feasible in severe device infection, keeping 100% of patients infection-free.

Why the study?

Does transcatheter pacing system implantation prevent re-infection in pacemaker-dependent patients with severe device infection undergoing lead extraction?

Population

6 pacemaker-dependent patients with severe device infection undergoing lead extraction

Design

Case_series

Follow-up

12 weeks

Authors

AKAlexander KyptaJohannes Kepler University of Linz HBHermann BlessbergerElectrophysiology JKJuergen KammlerJohannes Kepler University of Linz

Discussion

Member takes

Implication

May inform select post-extraction cases; leaves open confirmation of infection prevention in prospective trials.

Key Points

This research aims to evaluate the feasibility of transcatheter pacing systems (TPS) in patients with severe pacemaker-related infections.
Assessed a novel procedure in 6 pacemaker-dependent patients with severe device infection.
Performed lead extraction followed by single chamber TPS implantation into the right ventricle.
Followed up patients for 12 weeks post-procedure.
All 6 patients successfully underwent lead extraction and TPS implantation.
During the 12-week follow-up, all patients remained free of infection.
Positron emission tomography scans showed no signs of infection around the TPS.

Study Design

Type

Observational (n=6)

Multicenter

Structured PICO

Does transcatheter pacing system implantation prevent re-infection in pacemaker-dependent patients with severe device infection undergoing lead extraction?

Population

6 pacemaker-dependent patients with severe device infection (3 with pocket infection only, 3 with both pocket and lead infection) undergoing lead extraction

Intervention

Single chamber transcatheter pacing system (TPS) implanted into the right ventricle after lead extraction

Outcome

Safety, feasibility, and freedom from re-infectionsafety

Transcatheter pacemaker implantation appears safe and feasible without causing re-infection in pacemaker-dependent patients with severe device infection.

Cite This Study

Kypta et al. (2016) conducted an observational in Severe device infection (n=6). Transcatheter pacing system (TPS) implantation was evaluated on Successful lead extraction and TPS implantation, and freedom from infection. Transcatheter pacemaker implantation was safe and feasible in 6 pacemaker-dependent patients with severe device infection, with 100% remaining free of re-infection at 12 weeks.

synapsesocial.com/papers/6a0ee26e1c5e2d2319fa0843 https://doi.org/10.1111/jce.13030

View Full Paper

Ask AI

Bookmark

Leadless Cardiac Pacemaker Implantation After Lead Extraction in Patients With Severe Device Infection

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Leadless Cardiac Pacemaker Implantation After Lead Extraction in Patients With Severe Device Infection

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Also Consider