ISSN Print: 1050-6934
Volumes:Volume 27, 2017 Volume 26, 2016 Volume 25, 2015 Volume 24, 2014 Volume 23, 2013 Volume 22, 2012 Volume 21, 2011 Volume 20, 2010 Volume 19, 2009 Volume 18, 2008 Volume 17, 2007 Volume 16, 2006 Volume 15, 2005 Volume 14, 2004 Volume 13, 2003 Volume 12, 2002 Volume 11, 2001 Volume 10, 2000
Journal of Long-Term Effects of Medical Implants
Cardiac Implantable Electronic Device Infections: The Enemy That Lurks Beneath the Skin
Massachusetts General Hospital
The use of cardiac implantable electronic devices has increased exponentially in recent years with expanding indications and the aging of the general population. Despite improvements in device design, infection control practices, and the administration of antibiotic prophylaxis, the rate of cardiac implantable electronic device (CIED) infection has increased at a faster rate. With CIED infection becoming an increasing management problem, the purpose of this paper is to review the epidemiology, causes, pathogenesis, management and outcomes of CIED infection, and to summarize the recent updated guidelines published by the American Heart Association. While an extensive retrospective literature exists, only a few prospective clinical studies exist to help guide our management of this important problem. Research continues into the diagnosis, treatment and prevention of CIED infection. CIED infection is a growing clinical problem with significant morbidity and mortality. Summarizing the currently available literature, CIED infection is best managed by a combined strategy of complete device and lead extraction plus appropriately tailored antimicrobial therapy.
KEY WORDS: infection, cardiovascular device, implantable electronic device, pacemaker, implantable-cardioverter defibrillator, cardiac resynchronization, biventricular pacemaker, endocarditis, prosthesis-related infections
|Begell Digital Portal||Begell Digital Library||eBooks||Journals||References & Proceedings||Research Collections|