Chlorhexidine gluconate pocket lavage to prevent cardiac implantable electronic device infection in high-risk procedures

Diaz, Juan Carlos; Braunstein, Eric D.; Cañas, Felipe; Duque, Mauricio; Marín, Jorge Eduardo; Aristizabal, Julian; Niño, Cesar Daniel; Bastidas, Oriana; Hoyos, Carolina; Steiger, Nathaniel A.; Matos, Carlos D.; Sauer, William H.; Romero, Jorge E.

doi:10.1016/j.hrthm.2023.08.015

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Requirements For Performing Pacemaker Implantation1

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2024

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Cited by 3 publications

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“…[ 7 ] Chlorhexidine pocket lavage in high-risk procedures was associated with a reduced risk of infection without adverse events in a non-randomised series. [ 8 ]…”

Section: Requirements For Performing Pacemaker Implantationmentioning

confidence: 99%

British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update

Foley,

Thomas,

Dayer

et al. 2024

Arrhythm Electrophysiol Rev

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“…[ 7 ] Chlorhexidine pocket lavage in high-risk procedures was associated with a reduced risk of infection without adverse events in a non-randomised series. [ 8 ]…”

Section: Requirements For Performing Pacemaker Implantationmentioning

confidence: 99%

British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update

Foley,

Thomas,

Dayer

et al. 2024

Arrhythm Electrophysiol Rev

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Lead-Related Complications and Lead Extraction

Berbenetz,

Mondesert,

Parkash

2024

Reference Module in Biomedical Sciences

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Measures to Prevent Infection in Cardiac Implantable Electronic Device Replacements or Upgrades

Hoyos,

Qian,

Matos

et al. 2024

Rev. Cardiovasc. Med.

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Cardiac implantable electronic device (CIED) infections represent one of the most threatening complications associated with device implantation, due to an increase in morbidity and mortality rates, as well as healthcare costs. Besides, it is important to highlight that when compared to the initial implantation of a device, the risks associated with procedures like generator changes, lead and pocket revisions, or device upgrades double. Consequently, to address this issue, various scoring systems, like the PADIT (Prior Procedures, Age, Depressed Renal Function, Immunocompromised Status, Type of Procedure), the RI-AIAC (Ricerca Sulle Infezioni Associate a ImpiAnto o Sostituzione di CIED), and the Shariff score, along with predictive models, have been developed to identify patients at a greater risk of infection. Moreover, several interventions have been assessed to evaluate their role in infection prevention ranging from improving skin preparation and surgical techniques to considering alternative strategies such as the subcutaneous Implantable Cardioverter-Defibrillator (ICD). Methods like antimicrobial prophylaxis, pocket irrigation, chlorhexidine gluconate pocket lavage, capsulectomy, and the use of antibacterial envelopes have been also explored as preventive measures. In this review, we provide a comprehensive assessment of CIED infections in patients undergoing repeat procedures and the strategies designed to reduce the risk of these infections.

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Chlorhexidine gluconate pocket lavage to prevent cardiac implantable electronic device infection in high-risk procedures

Cited by 3 publications

References 31 publications

British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update

British Heart Rhythm Society Standards for Implantation and Follow-up of Cardiac Rhythm Management Devices in Adults: January 2024 Update

Lead-Related Complications and Lead Extraction

Measures to Prevent Infection in Cardiac Implantable Electronic Device Replacements or Upgrades

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