Department of Cardiology, Solothurner Spitäler Bürgerspital, Solothurn, Switzerland.
Department of Cardiology, Centre Hospitalier Universitaire La Timone, 264 Rue Saint-Pierre, F-13005 Marseille, France.
Europace. 2021 Jun 23;23(23 Suppl 4):iv20-iv27. doi: 10.1093/europace/euab016.
Cardiac implantable electronic device (CIED) infection causes significant morbidity and mortality without appropriate treatment. It can present as incisional infection, pocket infection, systemic CIED infection, or occult bacteraemia. Complete percutaneous CIED extraction (excepted in case of incisional infection) and appropriate antibiotic therapy are the two main pillars of therapy. Device reimplantation, if needed, should be delayed sufficiently to allow control of the infection. Here, we address the differences in prognosis according to the clinical scenario and the different treatment options.
心脏植入式电子设备 (CIED) 感染如果不进行适当治疗,会导致严重的发病率和死亡率。它可以表现为切口感染、囊袋感染、全身 CIED 感染或隐匿性菌血症。完整的经皮 CIED 取出术(切口感染情况除外)和适当的抗生素治疗是治疗的两个主要支柱。如果需要,应充分延迟设备重新植入,以控制感染。在这里,我们根据临床情况和不同的治疗选择,讨论预后的差异。