September 30, 2021The Journal of Infection in Developing CountriesOpen Access

Severe pacemaker pocket infection during the COVID-19 pandemic, transvenous lead removal

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Why the study?

Pacemaker lead endocarditis requires total device removal and antibiotics, but the COVID-19 pandemic caused delays in routine follow-up, diagnosis, and treatment.

Structured PICO

Population

n=1, 88-year-old pacemaker-dependent woman (complete AV block) with delayed diagnosis of pacemaker pocket infection and possible lead vegetations due to the COVID-19 pandemic.

Intervention

Transvenous removal of the pacemaker lead using a 9 French gauge rotational extraction sheathe (Cook Medical), temporary pacing, followed by new Dual Chamber (DDD/R) pacemaker implantation and intravenous antibiotic therapy (Meropenem and Teicoplanin).

Outcome

Successful extraction of the electrode, vegetation, and pacemaker generator without complications.

Transvenous lead extraction can be successfully and safely performed in pacemaker-dependent patients with severe device-related infections, even when treatment is significantly delayed.

Discussion

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Implication

Delayed pacemaker infection care during outbreaks risks adverse outcomes; leaves open optimal remote monitoring strategies for device patients.

Cite This Study

Babić et al. (2021) studied this question.

synapsesocial.com/papers/6a720d4fe36a167817e3a368 https://doi.org/10.3855/jidc.15225

View Full Paper

Ask AI

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Implication

Delayed pacemaker infection care during outbreaks risks adverse outcomes; leaves open optimal remote monitoring strategies for device patients.

Severe pacemaker pocket infection during the COVID-19 pandemic, transvenous lead removal

Structured PICO

Discussion

Implication

Cite This Study

Severe pacemaker pocket infection during the COVID-19 pandemic, transvenous lead removal

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider