Surgical removal of the infected lead, long-term anti-infection therapy, and reimplantation at a new site are the accepted approaches for pacemaker lead endocarditis.
Supports accepted pacemaker lead endocarditis management in this case; leaves open need for prospective data on timing and duration.
Pacemaker lead infections are rare. There are only about 0.4%-1.1% of the patients who have been implanted permanent pacemakers suffering from serious infections which lead to endocarditis. Generally, removal of the infected pacemaker wire and lead, long-term anti-infection therapy, and implantation of a new pacemaker to another anatomic site are accepted approaches for these patients.
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Ma et al. (2011) studied this question.
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