Lead extractions in patients with cardiac implantable electronic device infections: Single center experience

Goya, Masahiko; Nagashima, Michio; Hiroshima, Kenzo; Hayashi, Kentarō; Makihara, Yu; Fukunaga, Masato; An, Yoshimori; Ohe, Masatsugu; Yamazato, So-ichiro; Sonoda, Kenzo; Yamashita, Kennosuke; Katayama, Kouji; Ito, Tomoaki; Niu, Harushi; Ando, Kenji; Yokoi, Hiroyoshi; Iwabuchi, Masashi

doi:10.1016/j.joa.2016.02.004

Cited by 19 publications

(22 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, it is important to know the prognosis of transvenous lead extractions as well as its influencing factors. Studies of lead extraction in Japanese patients have been reported . However, the prognosis after transvenous lead extraction in Japanese patients, especially those with lead‐related infective endocarditis, has not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

Prognosis after lead extraction in patients with cardiac implantable electronic devices infection: Comparison of lead‐related infective endocarditis with pocket infection in a Japanese single‐center experience

Nishii

Morimoto

Miyoshi

et al. 2019

Journal of Arrhythmia

View full text Add to dashboard Cite

Background The increase in the use of cardiac implantable electronic devices (CIEDs) has been associated with an increase in CIED‐related infections. Transvenous lead extraction is safe and effective for patients with CIED‐related infections; however, the mortality rate in these patients is high. The prognosis after transvenous lead extraction in Japanese patients, especially those with lead‐related infective endocarditis, has not been evaluated. Then, the purpose of this study is to clarify the prognosis after transvenous lead extraction in Japanese patients with CIED‐related infections at a single Japanese center. Methods A total of 107 patients who underwent transvenous lead extraction were retrospectively reviewed. The patients were divided into a lead‐related infective endocarditis group (n = 32) and a pocket infection group (n = 75). Procedure success rate and prognosis after lead extraction were evaluated between the two groups. Results Procedure success rate was not significantly different between the groups. There were no deaths associated with the procedure or with infection. The survival rate was not significantly different at 1 year or at a median of 816 days (lead‐related infective endocarditis vs pocket infection; 93.7% vs 94.7%, P = 1.000; 78.1% vs 81.3%, P = 0.791) Time to reimplantation and duration of hospital stay and antibiotics therapy were significantly longer for patients with lead‐related infective endocarditis. Conclusion In this study, the prognosis for patients with lead‐related infective endocarditis after transvenous lead extraction was favorable. Thus, extraction should be strongly recommended, even if the general condition of the patient is poor.

show abstract

Section: Introductionmentioning

confidence: 99%

Prognosis after lead extraction in patients with cardiac implantable electronic devices infection: Comparison of lead‐related infective endocarditis with pocket infection in a Japanese single‐center experience

Nishii

Morimoto

Miyoshi

et al. 2019

Journal of Arrhythmia

View full text Add to dashboard Cite

show abstract

“…However, data on microbiology of CIED infection in Asian countries are limited. Studies from Japan and China showed that Staphylococcus remained the predominant pathogen associated with CIED infection …”

Section: Introductionmentioning

confidence: 99%

“…Studies from Japan and China showed that Staphylococcus remained the predominant pathogen associated with CIED infection. [26][27][28] In Thailand, CIED implantation has been increasingly performed.…”

Section: Introductionmentioning

confidence: 99%

Cardiac implantable electronic device infection in the cardiac referral center in Thailand: incidence, microbiology, risk factors, and outcomes

Korkerdsup

Ngarmukos

Sungkanuparph

et al. 2018

Journal of Arrhythmia

View full text Add to dashboard Cite

BackgroundDespite the long experience of cardiac implantable electronic device (CIED) implantation in Thailand, epidemiology of CIED infection in Thailand has never been studied.MethodsA retrospective cohort study was conducted at the cardiac referral center in Thailand to investigate incidence of CIED infection and causative organisms between October 2002 and December 2017. A matched case‐control study was performed to determine the factors associated with CIED infection.ResultsIncidence of CIED infection was 0.9% with a stable trend during the studied period. There were 54 episodes of CIED infection. The median (interquartile range) age of the patients was 67.5 (53.0‐75.0) years. A total of 29 (53.7%), 18 (33.3%), and 7 (13.0%) were permanent pacemaker, automatic implantable cardioverter‐defibrillator, and cardio‐resynchronization therapy‐related infection, respectively. Gram‐positive cocci were the most common organism (24 episodes, 44.4%). Gram‐negative bacilli were isolated in six episodes (11.1%). About 9.3% were polymicrobial and 35.2% were culture negative. Multivariate analysis showed that previous CIED infection and generator revision procedure were associated with CIED infection (odds ratio [OR] 48.56, 95% confidence interval [CI] 3.72‐633.62; P = 0.003 and OR 19.99, 95% CI 1.28‐333.24; P = 0.033 respectively). Forty (74.1%) cases were cured. Leaving device in situ was the only factor significantly associated with poor outcome (OR 11.40, 95% CI 1.52‐85.73; P = 0.018).ConclusionsIn Thailand, while CIED implantation is rising, incidence of CIED infection is stable. Microbiology of CIED infection in Thailand is similar to western countries, albeit a higher proportion of negative culture. Previous CIED infection and generator revision procedure are associated with CIED infection.

show abstract

“…While the relapse rate due to infection is 0% to 4.2%, when a complete removal is performed, this rate increases to 50% to 100% in a partial extraction (1, 3–5). …”

mentioning

confidence: 99%

A non-conventional approach to 10-year-delayed extraction of pacemaker leads associated with recurrent infective complications

Tesloianu¹

2017

Anatol J Cardiol

View full text Add to dashboard Cite

Lead extractions in patients with cardiac implantable electronic device infections: Single center experience

Cited by 19 publications

References 25 publications

Prognosis after lead extraction in patients with cardiac implantable electronic devices infection: Comparison of lead‐related infective endocarditis with pocket infection in a Japanese single‐center experience

Prognosis after lead extraction in patients with cardiac implantable electronic devices infection: Comparison of lead‐related infective endocarditis with pocket infection in a Japanese single‐center experience

Cardiac implantable electronic device infection in the cardiac referral center in Thailand: incidence, microbiology, risk factors, and outcomes

A non-conventional approach to 10-year-delayed extraction of pacemaker leads associated with recurrent infective complications

Contact Info

Product

Resources

About