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Cardiac device-related endocarditis: 31-Years' experience.
Damirbek Osmonov1, Kazim Serhan Ozcan, Izzet Erdinler
1Department of Cardiology, Siyami Ersek Cardiovascular and Thoracic Surgery Center, Istanbul 34668, Turkey. damirbeko@yahoo.com
Journal of Cardiology
|November 21, 2012
Summary
Cardiac device-related endocarditis (CDE) is a rare but serious complication. This study found a 0.38% CDE rate, with Staphylococcus aureus being a common cause, highlighting the need for vigilance.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Device Complications
Background:
- Cardiac device-related endocarditis (CDE) is a significant complication following pacemaker and defibrillator implantation.
- Tertiary care centers manage a substantial volume of these complex cases.
Purpose of the Study:
- To report the experience of a high-volume tertiary center in managing CDE.
- To analyze the clinical course, management, and outcomes of patients with CDE.
Main Methods:
- Retrospective analysis of 23 CDE cases over 31 years (1980-2011).
- Comparison of CDE incidence with overall device insertion data.
- Review of clinical presentation, diagnostic findings, and treatment strategies.
Main Results:
- An incidence rate of 0.38% for CDE was observed (20 cases out of 5287 procedures).
- Staphylococcus species, particularly Staphylococcus aureus, were the most common pathogens (78%).
- Device lead extraction was performed in 74% of cases, with a 17.4% mortality rate.
Conclusions:
- CDE is a rare but potentially lethal complication of cardiac device implantation.
- Effective management, including device removal, is crucial for patient outcomes.
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