Arrhythmias & electrophysiology
Concomitant leadless pacing in pacemaker-dependent patients undergoing transvenous lead extraction for active infection: Mid-term follow-up
Authors' conclusion
Leadless pacing is a safe and efficacious approach for the management of patients with pacing requirements that undergo CIED extraction in the setting of active infection.
Study context
- Population
- Pacemaker-dependent patients undergoing transvenous lead extraction (TLE) for active cardiac implantable electronic device (CIED) infection, June 2018–September 2022
- Participants
- 86 patients
- Outcome
- Clinical outcomes
- Follow-up
- Median 163 days (IQR 57-403 days)
Main finding
As reported in the abstract
- Procedure-related complications
- 0
- Recurrent infections
- 0
- Deaths
- 25 (29%)
- Deaths unrelated to initial infection
- 22 (88%)
- Deceased with MRSA or Candida infection
- 9 (36%)
- Persistent infection despite TLE among these
- 3
Observational data: associations, not effects.
Further findings
- Evidence of bacteremia
- 65 (76%)
- Discharged to complete antimicrobial treatment (of bacteremic)
- 80%
Safety
- No procedure-related complications
Original publication
Concomitant leadless pacing in pacemaker-dependent patients undergoing transvenous lead extraction for active infection: Mid-term follow-up. Heart Rhythm. Published 9 February 2023. doi:10.
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