Superior Vena Cava Thrombosis after Intravascular AICD Lead Extraction: A Case Report

Santangelo, L; Russo,; Ammendola, Ernesto; Crescenzo, De; Pagano, Cristina; Savarese, Cristina; Caruso, Aurelio; Utili, Riccardo; Calabrò, Raffaele

doi:10.1177/112972980600700210

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Septic thrombophlebitis of the axillary-subclavian axis, even though it is a rare condition, can occur when multiple leads are placed through the same vessel (e.g., CRT or abandoned leads). This complication is at very high risk of pulmonary embolism and an aggressive antithrombotic therapy is recommended before the explant of the whole device [ 41 ]. The diagnosis of CDRIE is still based on the modified Duke criteria, but many studies have highlighted some criticism about their predictive value in this setting [ 33 , 42 ].…”

Section: Cardiac Device-related Infective Endocarditis and Bacteriemiamentioning

confidence: 99%

Cardiac Implantable Electronic Devices Infection Assessment, Diagnosis and Management: A Review of the Literature

Toriello

Saviano

Faggiano

et al. 2022

JCM

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The use of increasingly complex cardiac implantable electronic devices (CIEDs) has increased exponentially in recent years. One of the most serious complications in terms of mortality, morbidity and financial burden is represented by infections involving these devices. They may affect only the generator pocket or be generalised with lead-related endocarditis. Modifiable and non-modifiable risk factors have been identified and they can be associated with patient or procedure characteristics or with the type of CIED. Pocket and systemic infections require a precise evaluation and a specialised treatment which in most cases involves the removal of all the components of the device and a personalised antimicrobial therapy. CIED retention is usually limited to cases where infection is unlikely or is limited to the skin incision site. Optimal re-implantation timing depends on the type of infection and on the results of microbiological tests. Preventive strategies, in the end, include antibiotic prophylaxis before CIED implantation, the possibility to use antibacterial envelopes and the prevention of hematomas. The aim of this review is to investigate the pathogenesis, stratification, diagnostic tools and management of CIED infections.

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Section: Cardiac Device-related Infective Endocarditis and Bacteriemiamentioning

confidence: 99%

Cardiac Implantable Electronic Devices Infection Assessment, Diagnosis and Management: A Review of the Literature

Toriello

Saviano

Faggiano

et al. 2022

JCM

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“…When the device cannot be removed because of the comorbidities, suppression by prolonged antibiotic treatment may be considered (class IIb indication) (11). When there is septic thrombophlebitis on upper extremity veins where electrodes were implanted initially, anticoagulation therapy and delayed extraction until thrombus resolution may be considered due to increased risk of pulmonary embolism (43). The new device should be implanted to the contralateral venous system to prevent relapses.…”

Section: Timing For Implantation Of the New Devicementioning

confidence: 99%

Management of cardiac device infections according to current data

Kafes¹,

Güray²,

İpek³

2013

Anadolu Kardiyol Derg

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The use of implantable devices in management of cardiac diseases is increasing as a result of improvements in technology of permanent pacemaker and implantable cardioverter defibrillators. Device related infections are also rising accordingly and have become an important clinical problem. Accurate diagnosis and optimal management of these infections is challenging, necessitating complete removal of the device and prolonged antibiotic therapy. In this regard, a multidisciplinary approach is required with the essential support of microbiology and imaging modalities. This paper highlights the current literature on the pathogenesis, risk factors, diagnosis and management of device related infections (Anadolu Kardiyol Derg 2014; 14: 76-81)

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Current trends in the management of cardiac implantable electronic device (CIED) infections

Durante‐Mangoni¹,

Mattucci²,

Agrusta³

et al. 2012

Intern Emerg Med

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Cardiac implantable electronic device (CIED) infections are an emerging clinical problem. A growing number of dedicated and high quality clinical studies are currently being generated. We here review the most recent advances in the diagnosis and treatment of patients with CIED infection including intracardiac lead endocarditis. We discuss the current etiology and risk factors, and appraise the major diagnostic issues, describing our center's therapeutic approach. We also address the management of CIED infection complications.

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Superior Vena Cava Thrombosis after Intravascular AICD Lead Extraction: A Case Report

Cited by 4 publications

References 7 publications

Cardiac Implantable Electronic Devices Infection Assessment, Diagnosis and Management: A Review of the Literature

Cardiac Implantable Electronic Devices Infection Assessment, Diagnosis and Management: A Review of the Literature

Management of cardiac device infections according to current data

Current trends in the management of cardiac implantable electronic device (CIED) infections

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