Background: The management of patients explanted for implantable converter defibrillator (ICD) infections may be complex when anti-bradycardia pacing and tachyarrhythmia protection are needed. We aimed to test the efficacy and safety of a conventional ICD externally connected to a transvenous dual-coil lead as bridging therapy before the reimplantation. Methods and results: We enrolled seven patients explanted for ICD infections and needed prolonged antibiotic therapy in two high-volume hospitals in Italy and treated them with a passive-can external ICD for a mean of 13 (4–30) days before reimplant. One patient experienced an electrical storm, efficaciously recognized by the external ICD and treated with antitachycardia pacing and shocks. On-demand pacing was granted for all the patients. No device-related complications were reported. Conclusions: An external ICD seems safe and efficacious as a bridge to reimplant in patients explanted for ICD infections.
Dell'Era, G., Ziacchi, M., Prenna, E., Diemberger, I., Varalda, M., Martignani, C., et al. (2018). External implantable defibrillator as a bridge to reimplant after explant for infection: Experience from two centers. PACING AND CLINICAL ELECTROPHYSIOLOGY, 41(5), 532-535 [10.1111/pace.13320].
External implantable defibrillator as a bridge to reimplant after explant for infection: Experience from two centers
Diemberger, Igor;
2018
Abstract
Background: The management of patients explanted for implantable converter defibrillator (ICD) infections may be complex when anti-bradycardia pacing and tachyarrhythmia protection are needed. We aimed to test the efficacy and safety of a conventional ICD externally connected to a transvenous dual-coil lead as bridging therapy before the reimplantation. Methods and results: We enrolled seven patients explanted for ICD infections and needed prolonged antibiotic therapy in two high-volume hospitals in Italy and treated them with a passive-can external ICD for a mean of 13 (4–30) days before reimplant. One patient experienced an electrical storm, efficaciously recognized by the external ICD and treated with antitachycardia pacing and shocks. On-demand pacing was granted for all the patients. No device-related complications were reported. Conclusions: An external ICD seems safe and efficacious as a bridge to reimplant in patients explanted for ICD infections.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
