Conservative therapy for the management of cardiac implantable electronic device infection
Along with the increased frequency of implantation, the incidence of cardiac implantable electronic device (CIED) infection, which can have serious or fatal complications, has also increased. Although several successful conservative therapies for CIED infection have been reported, retained infected...
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| Format: | Article |
| Language: | English |
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Wiley
2016-08-01
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| Series: | Journal of Arrhythmia |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1880427615001398 |
| _version_ | 1819207874513993728 |
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| author | Yukio Sekiguchi, MD |
| author_facet | Yukio Sekiguchi, MD |
| author_sort | Yukio Sekiguchi, MD |
| collection | DOAJ |
| description | Along with the increased frequency of implantation, the incidence of cardiac implantable electronic device (CIED) infection, which can have serious or fatal complications, has also increased. Although several successful conservative therapies for CIED infection have been reported, retained infected devices remain a source of relapse, which is closely related to a higher mortality rate. Presently, complete hardware removal is initially recommended for infected CIED patients, and indications for conservative therapy, including continuous administration of antibiotics, require careful consideration.
On the other hand, complete removal is not required for superficial or incisional infection at the device pocket if an infection does not involve the device, but the patient should be closely followed for progression to deeper infection, which would require extraction. |
| first_indexed | 2024-12-23T05:30:26Z |
| format | Article |
| id | doaj.art-af45e8db1a154e20a8407233a354feea |
| institution | Directory Open Access Journal |
| issn | 1880-4276 |
| language | English |
| last_indexed | 2024-12-23T05:30:26Z |
| publishDate | 2016-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-af45e8db1a154e20a8407233a354feea2022-12-21T17:58:30ZengWileyJournal of Arrhythmia1880-42762016-08-0132429329610.1016/j.joa.2015.09.012Conservative therapy for the management of cardiac implantable electronic device infectionYukio Sekiguchi, MDAlong with the increased frequency of implantation, the incidence of cardiac implantable electronic device (CIED) infection, which can have serious or fatal complications, has also increased. Although several successful conservative therapies for CIED infection have been reported, retained infected devices remain a source of relapse, which is closely related to a higher mortality rate. Presently, complete hardware removal is initially recommended for infected CIED patients, and indications for conservative therapy, including continuous administration of antibiotics, require careful consideration. On the other hand, complete removal is not required for superficial or incisional infection at the device pocket if an infection does not involve the device, but the patient should be closely followed for progression to deeper infection, which would require extraction.http://www.sciencedirect.com/science/article/pii/S1880427615001398Cardiac implantable electronic deviceInfectionAntibiotic therapyDevice extraction |
| spellingShingle | Yukio Sekiguchi, MD Conservative therapy for the management of cardiac implantable electronic device infection Journal of Arrhythmia Cardiac implantable electronic device Infection Antibiotic therapy Device extraction |
| title | Conservative therapy for the management of cardiac implantable electronic device infection |
| title_full | Conservative therapy for the management of cardiac implantable electronic device infection |
| title_fullStr | Conservative therapy for the management of cardiac implantable electronic device infection |
| title_full_unstemmed | Conservative therapy for the management of cardiac implantable electronic device infection |
| title_short | Conservative therapy for the management of cardiac implantable electronic device infection |
| title_sort | conservative therapy for the management of cardiac implantable electronic device infection |
| topic | Cardiac implantable electronic device Infection Antibiotic therapy Device extraction |
| url | http://www.sciencedirect.com/science/article/pii/S1880427615001398 |
| work_keys_str_mv | AT yukiosekiguchimd conservativetherapyforthemanagementofcardiacimplantableelectronicdeviceinfection |