Leadless pacemaker implantation after lead extraction for cardiac implanted electronic device infection

• DOI: 10.1111/jce.15363
• Publication Date: 2022-01-14T05:40:06Z
• Authors: Li Bicong; John Carson Allen; Kelly Arps; Sana M. Al‐Khatib; Tristram D. Bahnson; James P. Daubert; Camille Frazier‐M...; Donald D. Hegland; Kevin P. Jackson; Larry R. Jackson; Robert K. Lewis; Sean D. Pokorney; Albert Y. Sun; Kevin L. Thomas; Jonathan P. Piccini
• Keywords: Permanent pacemaker; Cardiac pacemaker; Artificial cardiac pacemaker; Groin; Lead (geology)

Cardiac implanted electronic device (CIED) pocket and systemic infection remain common complications with traditional CIEDs are associated high morbidity mortality. Leadless pacemakers may be an attractive pacing alternative for many patients following complete hardware removal a CIED by eliminating surgical pocket-related as well lower risk of recurrent complications.To describe use outcomes leadless pacemaker implantation extraction system due to infection.Patient characteristics postprocedural were described in who underwent at Duke University Hospital between November 11, 2014 18, 2019, extraction. Outcomes interest included procedural complications, syndrome, need revision, infection.Among 39 patients, the mean age was 71 ± 17 years, 31% women, most frequent primary indication heart block (64.1%) 9 (23.1%) being dependent time Micra implantation. The organism implicated Staphylococcus aureus (43.6%). Nine had before or on same day their procedure, remaining 30 after procedure. During follow-up (mean 24.8 14.7 months) implantation, there total 3 major complications: 1 groin hematoma, femoral arteriovenous fistula, case syndrome. No evidence implantation.Despite prior elevated infection, no follow up over 2 years removal. Larger studies longer required determine if is long-term advantage implanting versus temporary when needed during periextraction period infection.