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The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections.
- Source :
- Journal of Cardiothoracic Surgery; 11/25/2017, Vol. 12, p1-6, 6p
- Publication Year :
- 2017
-
Abstract
- <bold>Background: </bold>The approach to treat device infection in patients with implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) is a challenging procedure. Optimal treatment is complete extraction of the infected device. To protect these patients from sudden cardiac arrest while waiting for reimplantation and to avoid recurrent infection, a wearable cardioverter defibrillator (WCD) seems to be a valuable solution. Therefore, we investigated the management and outcome of patients with ICD or CRT-D infections using the WCD as a bridge to re-implantation after lead extraction procedures.<bold>Methods: </bold>We conducted a retrospective study on consecutive patients who underwent ICD or CRT-D removal due to device-related local or systemic infections. All patients were prescribed a WCD at our center between 01/2012 and 10/2015. All patients returned to our outpatient clinic for regular ICD or CRT-D monitoring initially 1 and 3 months after reimplantation followed by 6-months intervals.<bold>Results: </bold>Twenty-one patients (mean age 65.0 ± 8.0 years, male 76.2%) were included in the study. Complete lead extraction was achieved in all patients. While waiting for reimplantation one patient experienced a symptomatic episode of sustained ventricular tachycardia. This episode was converted successfully into sinus rhythm by a single 150 J shock. Mean follow-up time 392 ± 206 days, showing survival rate of 100% and freedom from reinfection in all patients.<bold>Conclusion: </bold>The WCD seems to be a valuable bridging option for patients with ICD or CRT-D infections, showing no recurrent device infection. [ABSTRACT FROM AUTHOR]
- Subjects :
- DEFIBRILLATORS
REIMPLANTATION (Surgery)
INFECTION
TACHYCARDIA
TACHYCARDIA treatment
PATIENTS
ANTIBIOTICS
CARDIAC arrest prevention
INFECTION treatment
ELECTRIC countershock
ELECTROCARDIOGRAPHY
IMPLANTABLE cardioverter-defibrillators
COMPLICATIONS of prosthesis
SURVIVAL
DISEASE incidence
VENTRICULAR tachycardia
RETROSPECTIVE studies
MEDICAL device removal
EQUIPMENT & supplies
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 17498090
- Volume :
- 12
- Database :
- Complementary Index
- Journal :
- Journal of Cardiothoracic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 126410637
- Full Text :
- https://doi.org/10.1186/s13019-017-0669-2