Related Experiment Video
Updated: Jun 17, 2026
16:40
A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
[Pacemaker and implantable cardioverter defibrillator infections].
1Inserm U 835, service de maladies infectieuses et réanimation médicale, CHU Pontchaillou, rue Henri-Le-Guilloux, 35033 Rennes cedex, France.
Medecine Et Maladies Infectieuses
|January 2, 2010
Summary
Pacemaker and defibrillator infections are increasing and can be severe. Complete device removal is essential for treatment, though managing related bloodstream infections remains challenging.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Device Technology
Context:
- Cardiac implantable electronic devices (CIEDs) like pacemakers and defibrillators are increasingly used.
- CIED infections pose significant risks, with rising incidence projected.
- Generator site infections are often apparent, but endovascular infections can be insidious.
Purpose:
- To review the diagnosis and management of CIED-related infections.
- To highlight diagnostic challenges, particularly for endovascular infections.
- To discuss current treatment paradigms and areas of uncertainty.
Summary:
- CIED infections range from generator pocket to endovascular types, with the latter often asymptomatic.
- Diagnosis involves cultures and advanced imaging like transesophageal echocardiography.
- Complete device and lead extraction is the standard treatment for established infections.
Impact:
- Improved understanding of CIED infection diagnosis and management.
- Highlights the need for vigilance regarding subtle endovascular infections.
- Informs clinical practice and future guideline development for CIED infections.
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