Key result
Surgical removal of infected cardiac implantable electronic devices using cardiopulmonary bypass was performed safely with a 0% mortality rate and no major complications.
Why the study?
When transvenous methods fail or in the presence of endocarditis, large vegetation, or thrombus, surgical methods are required to remove CIEDs.
What are the safety and clinical outcomes of surgical removal of infected cardiac implantable electronic devices using cardiopulmonary bypass?
Observational (n=10)
No
What are the safety and clinical outcomes of surgical removal of infected cardiac implantable electronic devices using cardiopulmonary bypass?
Surgical removal of infected cardiac implantable electronic devices using cardiopulmonary bypass is a safe and feasible method with low mortality and complication rates when transvenous extraction is not suitable.
Backround: Currently, permanent pacemakers and internal defibrillators are widely used as a result of technological developments. Infection and dysfunction are the most important reasons for removing these devices from patients. Transvenous removal of these devices is the first recommended method. Failure of transvenous methods, presence of endocarditis, large vegetation or thrombus requires the use of surgical methods to remove these devices. In this study, our purpose is to present our management in surgical removal of cardiac implantable electronic devices (CIED). Methods: Between June 2017 and October 2019, 667 CIED were implanted and 10 patients underwent surgical removal of CIED in our hospital. The demographic data of the patients were obtained from the polyclinic files and the hospital registration system. Results: Eight (80%) patients were male and the mean age was 55.3±16.4 years (22.0-77.0). Complete pacemaker system removal was decided by the heart team in all cases. In 4 patients, permanent pacemaker reimplantation was required intraoperatively. Conclusion: CIED infection is a serious disease associated with high mortality. For this reason, we believe that it should be beneficial to consider the long-term results in determining permanent pacemaker and internal defibrillator indications.
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Aksu et al. (2023) conducted an observational in Cardiac Implantable Electronic Device (CIED) infection (n=10). Surgical removal of CIED with cardiopulmonary bypass was evaluated on Mortality. Surgical removal of infected cardiac implantable electronic devices using cardiopulmonary bypass was performed safely with a 0% mortality rate and no major complications.
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