Why the study?
Managing patients after explant for ICD infection is complex, especially when anti-bradycardia pacing or tachyarrhythmia protection is required during prolonged antibiotic therapy before reimplantation.
Does an external temporary ICD reduce system malfunctions compared to temporary transvenous pacing in patients explanted for ICD infection?
Population
18 patients explanted for ICD infection needing prolonged antibiotic therapy
Comparison
External temporary ICD vs historical cohort treated with temporary transvenous pacing
Design
Multicenter cohort study with a historical control group
Follow-up
Mean of 16.5 (4-30) days
Authors
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External ICD linked to fewer malfunctions after explant; hypothesis-generating and requires randomized confirmation before practice change.
Does an external temporary ICD reduce system malfunctions compared to temporary transvenous pacing in patients explanted for ICD infection?
An external temporary ICD is a safe and viable bridging therapy that significantly reduces system malfunctions compared to temporary transvenous pacing in patients explanted for ICD infection.
Dell’Era et al. (2021) studied this question.
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