Lead Extraction in an Elderly Patient with Cardiac Device Infection
Author Information
Author(s): Proietti Riccardo, Lombardi Leonida, Quaglia Carlo, Sagone Antonio
Primary Institution: Cardiac Electrophysiology Laboratory Luigi Sacco Hospital Milano
Hypothesis
Is early lead extraction more effective than delayed antimicrobial therapy in elderly patients with cardiac device infections?
Conclusion
Early extraction of infected leads is crucial for recovery, even in elderly patients.
Supporting Evidence
- Device removal is mandatory in case of infection as per recent guidelines.
- Delayed operation is associated with a three-fold increase in 1 year-mortality.
- The Evolution System was used as the first line extraction tool due to the patient's age and condition.
Takeaway
If a heart device gets infected, it's important to remove it quickly, especially for older people, to help them get better.
Methodology
Case report detailing the extraction of multiple leads from a 92-year-old patient with a cardiac device infection.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
One 92-year-old male patient with idiopathic dilated cardiomyopathy.
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