Update on Cardiovascular Implantable Electronic Device Infections …
2023年12月4日 · Physical examination findings involving the generator pocket, such as fluctuance, purulent drainage, device erosion through skin, or sinus tract formation, are considered definite criteria for pocket infection . However, fluctuance alone could be due to a hematoma in the setting of recent CIED placement.
Infections involving cardiac implantable electronic devices ... - UpToDate
2023年3月10日 · This topic focuses on treatment and prevention of infection involving traditional CIEDs, those with subcutaneous pockets and transvenous leads. The epidemiology, microbiology, clinical manifestations, and diagnosis of CIED infections, as well as noninfectious complications of CIEDs, are discussed separately. (See "Infections involving cardiac ...
Infections involving cardiac implantable electronic devices ...
2023年3月7日 · This topic focuses on the epidemiology, microbiology, clinical manifestations, and diagnosis of CIED infections involving PPMs, ICDs, and CRT devices. CIED infections are generally considered in two categories: pocket infection and systemic infection.
Cardiac Implantable Electronic Devices Infection Assessment, …
2022年10月6日 · Apparently uncomplicated pocket infections should not be assumed as localised CIED infection, as germs may follow the path along leads and cause secondary blood-stream infection and endocarditis. Current data show that when a clinical pocket infection is identified, rates of lead or endocardial involvement range between 6% and 58% . Precisely ...
Implantable cardioverter-defibrillators (ICDs) - Mayo Clinic
2023年8月15日 · An implantable cardioverter-defibrillator (ICD) is a small battery-powered device placed in the chest. It detects and stops irregular heartbeats, also called arrhythmias. An ICD continuously checks the heartbeat. It delivers electric shocks, when needed, to …
AHA Update on CIED Infection Prevention and Management: Key …
2024年1月3日 · Diagnosis: Definite criteria for pocket infection include physical examination findings involving the generator pocket, such as fluctuance, purulent drainage, device erosion through skin, or sinus tract formation. Isolation of coagulase-negative staphylococci and S aureus in blood cultures is another criterion for definite infection.
Infections of Cardiovascular Implantable Electronic Devices
2012年8月30日 · Findings at the pocket site that are suggestive of infection include purulence, inflammatory changes, gelatinous material, loss or thinning of subcutaneous tissue, and poor capsule formation.
A Review of Cardiac Implantable Electronic Device Infections for …
2021年6月1日 · Pocket or bloodstream infection with virulent organisms often requires complete system extraction. Emerging prophylactic interventions and novel devices have expanded preventative strategies and options for re-implantation. A clear and nuanced understanding of CIED infection is important to the practicing electrophysiologist. Highlights.
Best Practices for Imaging Cardiac Device–Related Infections and ...
A generator pocket infection may be seen on CT as fluid surrounding the device with rim enhancement and/or fat stranding. However, metal artifacts induced by the generator severely impair the ability of CT to detect pocket infections, and CT is …
An Entirely Subcutaneous Implantable Cardioverter–Defibrillator
2010年7月1日 · Implantable cardioverter–defibrillators (ICDs) prevent sudden death from cardiac causes in selected patients but require the use of transvenous lead systems. To eliminate the need for...