Cardiac Implantable Electronic Device Infections and Lead Extraction

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Cardiac implantable electronic device infections: presentation, management, and patient outcomes.

BACKGROUND Indications for cardiac implantable electronic devices (CIEDs) are increasing. Although CIED infections occur infrequently, the impact of this outcome is expected to be substantial. OBJECTIVE The purpose of this study was to the evaluate the outcome of patients undergoing removal of infected CIEDs. METHODS A retrospective study was conducted of all patients with proven or suspect...

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Lead extractions in patients with cardiac implantable electronic device infections: Single center experience

BACKGROUND Lead extraction using laser sheaths is performed mainly for cardiac implantable electronic device (CIED) infections. However, there are few reports concerning the management of CIED infections in Japan. METHODS AND RESULTS Lead extraction procedures were performed in 183 patients targeting 450 leads (atrial leads: 170, ventricular: 181, implantable cardioverter-defibrillators (ICDs...

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Cardiac implantable electronic device lead extraction using the lead-locking device system: keeping it simple, safe, and inexpensive with mechanical tools and local anesthesia

OBJECTIVE We have previously reported our successful approach for percutaneous cardiac implantable electronic device (CIED) lead extraction using inexpensive tools, which we have continued over the years. Herein we report the results of the systematic use of a unique stylet, the lead-locking device (LLD), which securely locks the entire lead lumen, aided with non-powered telescoping sheaths in ...

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Infections of Cardiac Implantable Electronic Devices

The use of cardiac implantable electronic devices (CIEDs), which includes permanent pacemakers and implantable cardioverter-defibrillators, has greatly increased over the past two decades. Unfortunately, along with the rising use of cardiac medical devices, there has been a disproportional increase in the number of infections of such devices [1]. The rates of infection of CIED range from 0.1% t...

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Laser lead extraction to facilitate cardiac implantable electronic device upgrade and revision in the presence of central venous obstruction

AIMS The number of procedures involving upgrade or revision of cardiac implantable electronic devices (CIEDs) is increasing and the risks of adding additional leads are significant. Central venous occlusion in patients with pre-existing devices is often asymptomatic and optimal management of such patients in need of device revision/upgrade is not clear. We sought to assess our use of laser lead...

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ژورنال

عنوان ژورنال: Circulation: Arrhythmia and Electrophysiology

سال: 2018

ISSN: 1941-3149,1941-3084

DOI: 10.1161/circep.117.006101