A combined epicardial implantation and subsequent extraction strategy in pacemaker device infection in pacemaker‐dependent patients
Key result
Epicardial LV pacemaker implantation and subsequent extraction appears safe with 0 periprocedural deaths or reinfections.
- n=16
Why the study?
Does a combined epicardial implantation and subsequent extraction strategy provide a safe and feasible treatment for pacemaker-dependent patients with pacemaker infection?
Population
16 pacemaker-dependent patients admitted with a pacemaker infection, median age 71 years, 81% male.
Design
Case_series
Follow-up
median 17 months
Authors
Discussion
Loading...
Member takes
Implication
May support combined epicardial strategy in select pacemaker-dependent patients with infection; hypothesis-generating and requires prospective validation.
Study Design
Type
Observational (n=16)
Structured PICO
Does a combined epicardial implantation and subsequent extraction strategy provide a safe and feasible treatment for pacemaker-dependent patients with pacemaker infection?
P
Population
16 pacemaker-dependent patients admitted with a pacemaker infection (valvular endocarditis 38%, lead infection 25%, isolated pocket infection 38%), median age 71 years, 81% male.
I
Intervention
Combined procedure of left ventricular (LV) epicardial implantation of a pacemaker lead and subsequent extraction of the infected system, with the generator placed in the left flank and no temporary pacing wire used.
O
Outcome
Periprocedural mortality, postprocedural tamponades, complications, and reinfectionssafety
A combined strategy of epicardial LV pacemaker implantation followed by extraction of the infected system is feasible and safe for pacemaker-dependent patients with device infections.
Cite This Study
Brink et al. (2018) conducted an observational in Pacemaker infection in pacemaker-dependent patients (n=16). Combined epicardial left ventricular pacemaker implantation and subsequent extraction was evaluated on Periprocedural mortality, complications, and reinfections. A combined strategy of epicardial left ventricular pacemaker implantation and subsequent extraction in 16 pacemaker-dependent patients was safe, with 0 periprocedural deaths and 0 reinfections.