A subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation in infection high-risk patient - a case study.

Abstract

The cardiac device related infective endocarditis (CDRIE) is an important indication for the implantable cardiac device extraction. In patients after recovery from CDRIE, who present indication for implantable cardioverter-defibrilator (ICD) but without necessity for pacing therapy the subcutaneous ICD (S-ICD) seems to be a reasonable alternative. Here we present a patient with CRT-D device transferred to our hospital with the diagnosis of CDRIE and many comorbidities. The patient presented increased inflammatory markers serum level during the entire period of hospitalization, after device explanation and termination of antibiotic therapy. The blood culture tests were negative and transesophageal echocardiography showed no sign of endocarditis, therefore despite inflammatory biomarkers the patient has been implanted with S-ICD.

Preparation Method for Repairing Sports Exercise Injury Based on Tissue Engineering Ligament

“…Infection of the implant site in ligament treatment [7] is one of the most difficult complications in ligament repair surgery, ranging from prolonging the treatment time and increasing the treatment cost to repetitive damage to the ligament due to infection. There are generally two reasons for infection in the treatment of ligament injury: firstly, bacterial adhesion [8] forms a biofilm on the surface of the implant, which prevents the body from receiving drug treatment and the killing effect of antibiotics on bacteria.…”