Abstract
Cardiac implantable electronic device (CIED)endocarditis is a rare, but potentially dangerous complication. We present CIED endocarditis in eight patients, age 24-80 years. Clinical features of patients are fever in 8, heart failure in 2, pulmonary embolism in 1 and chills in 3 patients. Echocardiography demostrated lead vegetation in all patients, two patients had concomitant valve regurgitation. Mean interval between device implantation and first findings of infection was 3.3 years. Blood culture was positive in 7 patients (87.5%). Isolated causative organisms in blood cultures and extracted leads are: staphylococci in 3 (42.8%), two MRSA, streptococci in 2 (28.5%), Pseudomonas aeruginosa 1 (14, 2%), and Corinebacterium spec. 1 (14.2%) patients. Treatment with combination of antibiotoics and surgical lead extraction was performed in 7 patients with placement of new epicardial leads. Concomitant valve surgery was performed in two patients. Hospital and 2-year survival was 100%.
Published Version
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