Key result
Temporary dual-coil lead with external ICD provides feasible bridging after infected CIED extraction.
Why the study?
Management of patients with CIED and endovascular infection requiring device extraction is challenging due to loss of ICD protection against ventricular tachyarrhythmias, and the feasibility and outcomes of temporary external ICD bridging are not well described.
Does bridging with a temporary dual-coil ICD lead and external ICD improve feasibility and clinical outcomes compared to other available options in patients undergoing CIED extraction for endovascular infection?
Observational
Does bridging with a temporary dual-coil ICD lead and external ICD improve feasibility and clinical outcomes compared to other available options in patients undergoing CIED extraction for endovascular infection?
This study evaluates the feasibility and clinical outcomes of using a temporary external ICD as a bridge to reimplantation in patients undergoing infected CIED extraction.
Answers are grounded in this paper and cite their sources.
Feasibility of external ICD bridging after infected CIED extraction remains hypothesis-generating; leaves open need for comparative safety and efficacy data.
Patients with cardiac implantable electronic devices (CIED) and endovascular infection represent a difficult management group. The explantation of an implantable cardioverter-defibrillator (ICD) system deprives the patient of the protection against life-threatening ventricular tachyarrhythmias. In this study, we describe feasibility and clinical outcomes of bridging with temporary dual-coil ICD lead and external ICD following the extraction of a CIED due to endovascular infection and compare the performance of this approach to other available options.
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Dębski et al. (2017) conducted an observational in Cardiac implantable electronic device (CIED) endovascular infection. Bridging with temporary dual-coil ICD lead and external ICD vs. Other available options was evaluated on Feasibility and clinical outcomes.
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