Management of cardiac implantable electronic device infection using a complete interdisciplinary approachTherapie einer mit einem kardialen implantierbaren elektronischen Gerät assoziierten Infektion nach einem kompletten interdisziplinären Ansatz

被引:1
作者
Attila Benak
Maria Kohari
Zsuzsanna Besenyi
Attila Makai
Laszlo Saghy
Mate Vamos
机构
[1] University of Szeged,2nd Department of Medicine and Cardiology Center
[2] University of Szeged,Department of Nuclear Medicine
[3] University of Szeged,2nd Department of Medicine and Cardiology Center, Electrophysiology Division
关键词
Cardiac implantable electronic device infection; F‑FDG PET/CT; Transvenous lead extraction; Implantable cardioverter defibrillator; Subcutaneous ICD; Kardiales implantierbares elektronisches Gerät; F‑FDG-PET/CT; Transvenöse Sondenextraktion; Implantierbarer Kardioverter/Defibrillator; Subkutaner ICD;
D O I
10.1007/s00399-020-00728-1
中图分类号
学科分类号
摘要
Technological advances and increasing operator experience have improved the success rate of transvenous lead extraction (TLE). However, in some cases—especially with longer lead dwelling time—TLE can be highly complicated. In this case report, the authors present an unusual case of implantable cardioverter defibrillator (ICD) pocket infection diagnosed by 18F‑fluorodeoxyglucose positron emission tomography/computed tomography (18F‑FDG-PET/CT). Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.
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页码:124 / 127
页数:3
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