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Long-term results of conservative treatment of pacemaker pocket site infections

Ufuk Eryılmaz1, Fatih Sivri2, Mehtap Şencan2

  • 1Department of Cardiology, Adnan Menderes University, Aydın, Turkey.

Postepy W Kardiologii Interwencyjnej = Advances in Interventional Cardiology
|February 8, 2023
PubMed
Abstract

Insights

Conservative treatment for pacemaker pocket infections is effective and safe long-term. This approach avoids complete device removal, offering a viable alternative for managing cardiac device infections.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Devices

Background:

  • Cardiac device infections are increasing with device use.
  • Standard treatment involves complete system removal and contralateral reimplantation.
  • Long-term efficacy of conservative treatments for these infections is debated.

Purpose of the Study:

  • To investigate the long-term efficacy of conservative treatment for pacemaker pocket site infections.
  • To compare conservative treatment with standard treatment in managing these infections.

Main Methods:

  • Retrospective study including 132 patients with pacemaker pocket site infections.
  • Patients were divided into conservative and standard treatment groups.
  • Conservative treatment involved pocket opening, debridement, cleaning, and local battery embedding.

Main Results:

  • No re-infections were observed in either group during a follow-up of approximately 36-40 months.
  • Culture-negative results were observed in 15/60 patients (conservative group) and 60/72 patients (standard group), a statistically significant difference (p=0.04).

Conclusions:

  • Conservative treatment is effective and safe for long-term management of cardiac device pocket site infections.
  • This approach offers a potentially less invasive alternative to complete system explantation.
Keywords:
conservative treatmentlong term resultspacemaker pocket infections

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