Key result
Primary implantation of an implantable cardioverter defibrillator in 164 patients was associated with early system infection in 0.61% and late infection in 0.61%.
Cohort (n=164)
ICD system infection is a rare but serious complication, occurring in approximately 1.2% of primary implantations, highlighting the need for strict preventive measures.
Supports low periprocedural risk with primary ICD implantation; leaves open durability in contemporary practice.
In a consecutive series of 164 patients undergoing primary implantation of an implantable cardioverter defibrillator (ICD), two patients died in the hospital (1.2%) and early system infection developed in one patient requiring explantation of the device (0.61%). Late infection developed in one additional patient (0.61%) 7 months after transvenous ICD implantation, and was thought to be due to a recent intravascular catheterization. Symptomatic generator pocket hematomas developed in three patients, two of which were treated by simple evacuation and one with temporary generator explanation and subsequent reimplantation of the unit in a new pocket. No infection developed in these three patients during follow-up. Generator erosion without obvious system infection developed in a fourth patient. Guidelines for the prevention of infection in ICD systems are presented.
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Shahian et al. (1993) conducted a cohort in Implantable cardioverter defibrillator (ICD) implantation (n=164). Implantable cardioverter defibrillator (ICD) implantation was evaluated on System infection. Primary implantation of an implantable cardioverter defibrillator in 164 patients was associated with early system infection in 0.61% and late infection in 0.61%.
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