NDLI: The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections

Content Provider	Springer Nature : BioMed Central
Author	Castro, L. Pecha, S. Linder, M. Vogler, J. Gosau, N. Meyer, C. Willems, S. Reichenspurner, H. Hakmi, S.
Abstract	Background The approach to treat device infection in patients with implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) is a challenging procedure. Optimal treatment is complete extraction of the infected device. To protect these patients from sudden cardiac arrest while waiting for reimplantation and to avoid recurrent infection, a wearable cardioverter defibrillator (WCD) seems to be a valuable solution. Therefore, we investigated the management and outcome of patients with ICD or CRT-D infections using the WCD as a bridge to re-implantation after lead extraction procedures. Methods We conducted a retrospective study on consecutive patients who underwent ICD or CRT-D removal due to device-related local or systemic infections. All patients were prescribed a WCD at our center between 01/2012 and 10/2015. All patients returned to our outpatient clinic for regular ICD or CRT-D monitoring initially 1 and 3 months after reimplantation followed by 6-months intervals. Results Twenty-one patients (mean age 65.0 ± 8.0 years, male 76.2%) were included in the study. Complete lead extraction was achieved in all patients. While waiting for reimplantation one patient experienced a symptomatic episode of sustained ventricular tachycardia. This episode was converted successfully into sinus rhythm by a single 150 J shock. Mean follow-up time 392 ± 206 days, showing survival rate of 100% and freedom from reinfection in all patients. Conclusion The WCD seems to be a valuable bridging option for patients with ICD or CRT-D infections, showing no recurrent device infection.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/s13019-017-0669-2.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/s13019-017-0669-2
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	12
Language	English
Publisher	BioMed Central
Publisher Date	2017-11-25
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Wearable cardioverter defibrillator CIED-infection ICD infection Sudden cardiac arrest Lead/ device extraction Ventricular tachycardia
Content Type	Text
Resource Type	Article
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Mitigating Post-Extraction Risk

Experience with a Wearable Cardioverter-defibrillator in 436 Patients.

The wearable cardioverter-defibrillator vest: Indications and ongoing questions

Echocardiographic Predictors of Ventricular Tachycardia

Wearable cardioverter defibrillator after cardiac surgery: Analysis of real-life data from patients at transient risk of sudden cardiac death.

Wearable cardioverter defibrillators for the prevention of sudden cardiac arrest: a health technology assessment and patient focus group study.

Idiopathic Ventricular Fibrillation in a Previously Healthy Recreational Athlete.

Sudden cardiac death while waiting: do we need the wearable cardioverter-defibrillator?

Open access implantable cardioverter-defibrillator lead extraction.

The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections

Similar Documents

Mitigating Post-Extraction Risk

Experience with a Wearable Cardioverter-defibrillator in 436 Patients.

The wearable cardioverter-defibrillator vest: Indications and ongoing questions

Echocardiographic Predictors of Ventricular Tachycardia

Wearable cardioverter defibrillator after cardiac surgery: Analysis of real-life data from patients at transient risk of sudden cardiac death.

Wearable cardioverter defibrillators for the prevention of sudden cardiac arrest: a health technology assessment and patient focus group study.

Idiopathic Ventricular Fibrillation in a Previously Healthy Recreational Athlete.

Sudden cardiac death while waiting: do we need the wearable cardioverter-defibrillator?

Open access implantable cardioverter-defibrillator lead extraction.

The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections