LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 3 of total 3

Search options

  1. Article: Surgical management of cardiac implantable electronic device infections.

    Koutentakis, Michael / Siminelakis, Stavros / Korantzopoulos, Panagiotis / Petrou, Anastasios / Petrou, Alexandra / Priavali, Helen / Priavali, Eleftheria / Mpakas, Andreas / Gesouli, Helen / Gesouli, Eleftheria / Apostolakis, Efstratios / Apostolakis, Eleftheria / Tsakiridis, Kosmas / Zarogoulidis, Paul / Katsikogiannis, Nikolaos / Kougioumtzi, Ioanna / Machairiotis, Nikolaos / Tsiouda, Theodora / Zarogoulidis, Konstantinos

    Journal of thoracic disease

    2012  Volume 6 Suppl 1, Page(s) S173–9

    Abstract: Purpose: The infection of cardiac implantable electronic devices (CIED) is a serious and ... of infection occurred.: Conclusions: Management protocols that include complete device removal are the only ... specialized techniques of percutaneous device removal have been developed, the surgical ...

    Abstract Purpose: The infection of cardiac implantable electronic devices (CIED) is a serious and potentially lethal complication. The population at risk is growing, as the device implantation is increasing especially in older patients with associated comorbid conditions. Our purpose was to present the management of this complicated surgical condition and to extract the relevant conclusions.
    Methods: During a 3-year period 1,508 CIED were implanted in our hospital. We treated six cases of permanent pacemaker infection with localized pocket infection or endocarditis. In accordance to the recent AHA/ACC guidelines, complete device removal was decided in all cases. The devices were removed under general anaesthesia, with a midline sternotomy, under extracorporeal circulation on the beating heart. Epicardial permanent pacing electrodes were placed on the right atrium and ventricle before the end of the procedure.
    Results: The postoperative course of all patients was uncomplicated and after a follow up period of five years no relapse of infection occurred.
    Conclusions: Management protocols that include complete device removal are the only effective measure for the eradication of CIED infections. Although newer technologies have emerged and specialized techniques of percutaneous device removal have been developed, the surgical alternative to these methods can be a safe solution in cases of infected devices.
    Language English
    Publishing date 2012-06-13
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.3978/j.issn.2072-1439.2013.10.23
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  2. Article ; Online: Surgical management of infected cardiac implantable electronic devices.

    Chaudhry, Umar A R / Harling, Leanne / Ashrafian, Hutan / Athanasiou, Christina / Tsipas, Pantelis / Kokotsakis, John / Athanasiou, Thanos

    International journal of cardiology

    2016  Volume 203, Page(s) 714–721

    Abstract: The growing use of cardiac implantable electronic devices (CIED) has led to infections requiring ... further complications, then there may be need for a cardiothoracic surgical approach. Limited evidence is ... surgical techniques. ...

    Abstract The growing use of cardiac implantable electronic devices (CIED) has led to infections requiring intervention. These are traditionally managed using a percutaneous transvenous approach to fully extract the culpable leads. Indications for such strategies are well-established and range from simple traction to the use of powered extraction tools including laser sheaths. Where such attempts fail, or if there are further complications, then there may be need for a cardiothoracic surgical approach. Limited evidence is currently available on the merits of individual strategies, and these are mainly drawn from case reports or series. Most utilise cardiopulmonary bypass, cardioplegic arrest and entry within the right atrium to allow direct visualisation of any vegetation and safely explant all CIED components whilst avoiding perforation, valvular and paravalvular damage. In this review, we describe a number of these and the unique challenges faced by surgeons when attempting to extract CIED. It is clear that future work should concentrate on creating clear consensus and guidelines on indications, risks and measures of efficacy outcomes for various surgical techniques.
    MeSH term(s) Arrhythmias, Cardiac/therapy ; Cardiac Resynchronization Therapy Devices/adverse effects ; Cardiac Resynchronization Therapy Devices/microbiology ; Cardiac Surgical Procedures/methods ; Device Removal/methods ; Global Health ; Incidence ; Prosthesis-Related Infections/epidemiology ; Prosthesis-Related Infections/surgery
    Language English
    Publishing date 2016-01-15
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2015.11.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 1673: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

  3. Article ; Online: Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience.

    Roberto, Maurizio / Sicuso, Rita / Manganiello, Sabrina / Catto, Valentina / Salvi, Luca / Nafi, Matteo / Casella, Michela / Rossi, Fabiana / Grillo, Francesco / Saccocci, Matteo / Gasperetti, Alessio / Cervellione, Rosario / Carcione, Davide / Alamanni, Francesco / Tondo, Claudio / Dello Russo, Antonio

    International journal of cardiology

    2019  Volume 279, Page(s) 35–39

    Abstract: ... from all consecutive patients undergoing cardiac implantable electronic device leads TLE at the IRCCS Centro ... in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre ... involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation ...

    Abstract Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality. The present paper reports procedural outcomes and complications of our lead extraction experience.
    Methods: We retrospectively collected and analysed data from all consecutive patients undergoing cardiac implantable electronic device leads TLE at the IRCCS Centro Cardiologico Monzino between January 2011 and November 2017.
    Results: One-hundred fifty patients (111 males, 68 ± 13 years) underwent extraction procedures. The most common extraction indication were infections (86.7%) and TLE was carried out by laser-based approach in 88 (58.6%) patients, by mechanical dilating sheaths in 58 (38.7%) patients and by a combined approach (TLE + open surgical intervention) in 4 (2.7%) patients. Procedural success was obtained in 146 (97.3%) cases with only 3 (2.0%) major complications with 2 cases of structural injury with tamponade requiring emergent median sternotomy. Open surgery extraction was required in 4 patients, after an attempt to TLE, due to leads strict adhesion to cardiac or vascular structures, whereas in 5 (3.3%) cases, the treatment of choice was a combined approach consisting in transvenous leads extraction followed by planned surgery.
    Conclusions: TLE is a complex procedure that sometimes leads to fatal complications. In our single center experience, a multidisciplinary approach involving electrophysiologist, cardiac surgeon, anaesthesiologist in an operating room allows a safer approach and major complications treatment.
    MeSH term(s) Aged ; Aged, 80 and over ; Cardiac Electrophysiology/methods ; Cardiac Electrophysiology/standards ; Defibrillators, Implantable/adverse effects ; Device Removal/methods ; Device Removal/standards ; Female ; Humans ; Intraoperative Care/methods ; Intraoperative Care/standards ; Male ; Middle Aged ; Patient Care Team/standards ; Retrospective Studies ; Surgeons/standards
    Language English
    Publishing date 2019-01-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 779519-1
    ISSN 1874-1754 ; 0167-5273
    ISSN (online) 1874-1754
    ISSN 0167-5273
    DOI 10.1016/j.ijcard.2018.12.074
    Database MEDical Literature Analysis and Retrieval System OnLINE

    Full text online

    More links

    Kategorien

    In stock of ZB MED Cologne/Königswinter

    Zs.A 1673: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

    Order via subito

    This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.

To top