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手术时机在右侧心脏植入式电子装置感染性心内膜炎中的重要性

Importance of Surgical Timing in Right-Side Cardiac Implantable Electronic Device Infective Endocarditis.

作者信息

D'Acierno Edoardo Maria, Pavone Natalia, Cammertoni Federico, Calabrese Maria, Bruno Piergiorgio, Lillo Rosa, Nesta Marialisa, Cutrone Gessica, Tarzia Pierpaolo, Leone Antonio Maria, Scoppettuolo Giancarlo, Pasquini Annalisa, Burzotta Francesco, Massetti Massimo

机构信息

Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy.

Department of Cardiovascular Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

出版信息

JACC Case Rep. 2025 Mar 19;30(6 Pt 1):102977. doi: 10.1016/j.jaccas.2024.102977. Epub 2025 Jan 22.

DOI:10.1016/j.jaccas.2024.102977
PMID:40118635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12011177/
Abstract

Cardiac impantable electronic device infective endocarditis (CIED-IE) is a life-threatening condition. We report 2 cases of large infective endocarditis in which differences in surgical timing affected outcomes. Patients with CIED-IE should be referred to a hub center with experienced specialists and undergo early complete device extraction without unnecessary delay.

摘要

心脏植入式电子设备感染性心内膜炎（CIED-IE）是一种危及生命的疾病。我们报告了2例大型感染性心内膜炎病例，其中手术时机的差异影响了治疗结果。CIED-IE患者应被转诊至有经验丰富专家的中心，并尽早进行完整的设备取出，避免不必要的延误。

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本文引用的文献

1
2023 ESC Guidelines for the management of endocarditis.2023年欧洲心脏病学会感染性心内膜炎管理指南。
Eur Heart J. 2023 Oct 14;44(39):3948-4042. doi: 10.1093/eurheartj/ehad193.
2
Early Lead Extraction for Infected Implanted Cardiac Electronic Devices: JACC Review Topic of the Week.早期取出感染的植入式心脏电子设备：JACC 本周回顾主题。
J Am Coll Cardiol. 2023 Apr 4;81(13):1283-1295. doi: 10.1016/j.jacc.2023.01.038.
3
Early Versus Delayed Lead Extraction in Patients With Infected Cardiovascular Implantable Electronic Devices.
早期与延迟取出感染性心血管植入电子设备患者的心脏起搏器/除颤器。
JACC Clin Electrophysiol. 2021 Jun;7(6):755-763. doi: 10.1016/j.jacep.2020.11.003. Epub 2020 Dec 24.
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European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID), and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).欧洲心律协会（EHRA）关于心脏植入式电子设备感染的预防、诊断和治疗的国际共识文件——得到心律学会（HRS）、亚太心律学会（APHRS）、拉丁美洲心律学会（LAHRS）、国际心血管传染病学会（ISCVID）以及欧洲临床微生物学和传染病学会（ESCMID）与欧洲心胸外科学会（EACTS）合作认可。
Eur Heart J. 2020 Jun 1;41(21):2012-2032. doi: 10.1093/eurheartj/ehaa010.
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Clinical presentation, aetiology and outcome of infective endocarditis. Results of the ESC-EORP EURO-ENDO (European infective endocarditis) registry: a prospective cohort study.感染性心内膜炎的临床表现、病因和结局。ESC-EORP EURO-ENDO（欧洲感染性心内膜炎）注册研究的结果：一项前瞻性队列研究。
Eur Heart J. 2019 Oct 14;40(39):3222-3232. doi: 10.1093/eurheartj/ehz620.
6
Surgical management of infected cardiac implantable electronic devices.感染性心脏植入式电子设备的外科治疗
Int J Cardiol. 2016 Jan 15;203:714-21. doi: 10.1016/j.ijcard.2015.11.013. Epub 2015 Nov 10.