Department of Medicine, Université de Montréal, Montreal, Canada; Division of Electrophysiology, Department of Medicine, Montreal Heart Institute, 5000 rue Bélanger, Montreal, Quebec H1T 1C8, Canada.
Division of Infectious Diseases, Centre hospitalier de l'Université de Montréal, Quebec, Canada; Faculty of Medicine, Department of Microbiology, Infectious Diseases and Immunology, University of Montreal, 1000 Saint-Denis Street, Montreal, Quebec H2X 0C1, Canada.
Card Electrophysiol Clin. 2024 Dec;16(4):383-391. doi: 10.1016/j.ccep.2024.06.004. Epub 2024 Aug 3.
Cardiac implantable electronic device (CIED) infections are a highly morbid and potentially fatal complication of CIED implantation. Prompt diagnosis is paramount to the proper management of such infections. This review seeks to highlight the pathophysiology, risk factors, diagnostic approach, and prevention strategies for CIED infection, with an emphasis on pocket infection. Management will be discussed in detail, with complete device removal representing the standard of case, but with conservative management representing a potential alternative for patients at high risk for extraction. The high prevalence of CIED in the cardiac population renders understanding of this subject essential for the practicing clinician.
心脏植入式电子设备 (CIED) 感染是 CIED 植入后一种高度病态且可能致命的并发症。及时诊断对于此类感染的正确处理至关重要。本综述旨在强调 CIED 感染的病理生理学、危险因素、诊断方法和预防策略，重点是口袋感染。将详细讨论其管理，完整的设备移除代表着标准治疗方案，但对于高提取风险的患者，保守管理可能是一种潜在的替代方案。CIED 在心脏患者中的高患病率使得该领域的知识对临床医生来说至关重要。
