Management of a Remnant Electrode in a Patient With Cardioverter-Defibrillator Infection After Refusal of Intravascular Electrode Removal
Korean Circulation Journal 2011³â 41±Ç 1È£ p.46 ~ p.50
(Hahn Sung-Hwahn) - Dankook University College of Medicine Department of Internal Medicine
±èÁöȯ(Kim Ji-Hwan) - Dankook University College of Medicine Department of Internal Medicine
ÃÖÁ¤Çö(Choi Jung-Hyun) - Dankook University College of Medicine Department of Internal Medicine
ÀÓ¼ºÈÆ(Lim Seong-Hoon) - Dankook University College of Medicine Department of Internal Medicine
°Å¼ö(Kang Tae-Soo) - Dankook University College of Medicine Department of Internal Medicine
¹Úº´¾ð(Park Byoung-Eun) - Dankook University College of Medicine Department of Internal Medicine
À̸í¿ë(Lee Myung-Yong) - Dankook University College of Medicine Department of Internal Medicine
Abstract
Treatments of choice for cardiac implantable electronic device (CIED) infections are the removal of the entire CIED system, control of infection, and new device implantation. Occasionally, a complete CIED removal can not be performed for several reasons, such as very old age, severe comobidity, limited life expectancy, or refusal by a patient. We encountered a male patient who developed traumatic CIED infection five years after cardioverter-defibrillator implantation. An intravenous electrode could not be removed by a simple transvenous extraction procedure, and he refused surgical removal of the remnant electrode. After control of local infection, the tips of the electrode were separated and buried between muscles, and the wound was closed with a local flap. CIED infection did not recur for 12 months even without relying on long-term antimicrobial treatment.
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Defibrillators, implantable, Infection, Electrodes, implanted
KMID :
0368120110410010046
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À¯È¿¼º°á°ú(Recomendation)
After control of local infection, the tips of the electrode were separated and buried between muscles, and the wound was closed with a local flap. CIED infection did not recur for 12 months even without relying on long-term antimicrobial treatment.