Advances in cardiac implantable electronic device infection prevention: should we push the envelope?

被引:4
作者
Lambert, Cameron T. [1 ]
Wilkoff, Bruce L. [1 ]
Tarakji, Khaldoun G. [1 ]
机构
[1] Cleveland Clin, Sect Cardiac Pacing & Electrophysiol, Robert & Suzanne Tomsich Dept Cardiovasc Med, Inst Heart & Vasc, 9500 Euclid Ave,J2-2, Cleveland, OH 44195 USA
关键词
CIED; infection; prevention;
D O I
10.2217/fca-2018-0039
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac implantable electronic devices (CIEDs) including pacemakers, implantable cardioverter defibrillators and loop recorders have become widespread adjuncts in the care of patients with cardiovascular disease. CIEDs provide increased diagnostic yield, better quality of life and improved longevity. While there are obvious benefits with these devices, the mere fact that these therapies involve implantation of a foreign device within the body leads to certain risks. The most feared complication associated with CIED use is infection. While the incidence of CIED infection is relatively low for first-time implants, the consequences are serious and involve increased morbidity and mortality despite optimal management. In this review, we discuss preventive practices including a new antimicrobial envelope aimed at reducing the risk of CIED infections.
引用
收藏
页码:359 / 366
页数:8
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