Why the study?
Complete device removal is recommended for CIED infection, necessitating temporary pacing in pacemaker-dependent patients before reimplantation, prompting evaluation of temporary pacing using active fixation leads.
Does temporary pacing using active fixation leads provide safe and effective bridging in pacemaker-dependent patients after infected CIED removal?
Population
334 patients implanted with TPAFL after transvenous lead extraction at a single center
Design
Single-center retrospective consecutive cohort study
Follow-up
Median 23.1 months
Authors
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Low event rates support active-fixation temporary pacing for bridging post-CIED extraction; hypothesis-generating and requires randomized confirmation.
Does temporary pacing using active fixation leads provide safe and effective bridging in pacemaker-dependent patients after infected CIED removal?
Temporary pacing using active fixation leads is a safe and effective bridging strategy with low complication and reinfection rates for pacemaker-dependent patients undergoing infected CIED extraction.
Zhou et al. (2021) studied this question.
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