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Updated: Dec 4, 2025

Animal Model of Implant-Associated Infections in Mice
Published on: June 27, 2025
Management of cardiac implantable electronic device infection using a complete interdisciplinary approach
Attila Benak1, Maria Kohari1, Zsuzsanna Besenyi2
12nd Department of Medicine and Cardiology Center, University of Szeged, Szeged, Hungary.
Abstract:
Technological advances and increasing operator experience have improved the success rate of transvenous lead extraction (TLE). However, in some cases-especially with longer lead dwelling time-TLE can be highly complicated. In this case report, the authors present an unusual case of implantable cardioverter defibrillator (ICD) pocket infection diagnosed by 18F‑fluorodeoxyglucose positron emission tomography/computed tomography (18F‑FDG-PET/CT). Complete lead extraction required a combined transvenous and surgical approach. Contralateral reimplantation failed due to occlusion of the right brachiocephalic vein. Therefore, a subcutaneous ICD was implanted. This case highlights the importance of an interdisciplinary approach to the treatment of cardiac implantable electronic device infection.
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