Key result
Pre-incisional antibiotics and careful hemostasis are critical for preventing CIED infections, while capsulectomy increases hematoma risk without reducing infections, and antibacterial envelopes show promise.
Why the study?
Do preventive strategies such as capsulectomy or antibacterial envelopes reduce the risk of infection in patients undergoing CIED procedures?
Do preventive strategies such as capsulectomy or antibacterial envelopes reduce the risk of infection in patients undergoing CIED procedures?
Pre-incisional antibiotics remain the cornerstone of CIED infection prevention, while routine capsulectomy is not recommended due to increased hematoma risk, and antibacterial envelopes show potential benefit requiring further prospective evaluation.
Rising CIED infection rates outpace implants; leaves open which novel preventive strategies will reduce morbidity.
Cardiac implantable electronic device (CIED) infections can have devastating implications for patient morbidity and mortality. Over the past decade, the infection rate has risen out of proportion to implant rates, and has prompted the development of innovative solutions designed to reduce infections. The first section of this review provides a summary of the contemporary knowledge regarding the incidence, prevalence, microbiology, and risk factors for cardiac implantable electronic device infections. The second section addresses prevention with an emphasis on the potential role of novel procedural approaches, such as capsulectomy and the antibacterial envelope, in reducing CIED infection.
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Gleva et al. (2017) conducted a review in Cardiac implantable electronic device (CIED) infections. Capsulectomy and antibacterial envelope was evaluated. Pre-incisional antibiotics and careful hemostasis are critical for preventing CIED infections, while capsulectomy increases hematoma risk without reducing infections, and antibacterial envelopes show promise.
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