Cardiac device infections complicated by erosion JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY Tsai, V., Chen, H., Hsia, H., Zei, P., Wang, P., Al-Ahmad, A. 2007; 19 (2): 133-137


Implantation of pacemakers and implantable cardioverter-defibrillators (ICDs) can be complicated by infection and device erosion. It is unclear if the clinical features of patients who have device erosion differ from those without erosion.We retrospectively examined the records of all patients referred for explantation of a pacemaker or defibrillator from January 2000 to May 2005. We examined demographic variables including age, gender, and body mass index (BMI) as well as clinical variables related to erosion and procedural variables.Seventy-two patients with infected pacemakers or ICDs were identified. Of these cases, 30 (42%) developed infection complicated by erosion, of which 8/28 (29%) were related to ICDs, and 22/44 (50%) were related to pacemakers.Device erosion was significantly associated with the presence of a non-systemic infection as opposed to cases without erosion. This finding may have implications in the timing of device re-implantation.

View details for DOI 10.1007/s10840-007-9143-8

View details for Web of Science ID 000249009800008

View details for PubMedID 17668305