Local device infection successfully treated without pacemaker removal in a neonate: a case report

2021 ◽  
Vol 30 (12) ◽  
pp. 1002-1004
Author(s):  
Giuseppe Scrascia ◽  
Anna Maria Pia Grimaldi ◽  
Dario Troise ◽  
Silvana Catucci ◽  
Giulio Maggio ◽  
...  

Aims: Local device infection is a serious complication, especially in neonates. Complete device removal is the gold standard treatment for cardiac device infection; however, in selected cases alternative strategies could be adopted. We describe a case of a 14-day-old neonate, weighing 2.5kg, who had undergone epicardial double chamber pacemaker implantation for a congenital complete atrioventricular block. The generator pocket was created in the epigastric area below the rectus abdominis. At six days after implantation, pocket infection was found; blood cultures and the transoesophageal echocardiogram were normal. Due to the low weight of the neonate, and the limited possibility of finding a new comfortable site for housing the generator far from the infected area, we opted for a conservative strategy. We successfully applied a combination of antibiotic therapy, a vacuum-assisted wound closure system (KCI, Germany) for 40 days, and then skin transfer flap from the right flank without device removal. At one-year follow-up there were no local or systemic signs of infection.

2005 ◽  
Vol 28 (12) ◽  
pp. 1276-1281 ◽  
Author(s):  
JIMMY DY CHUA ◽  
AHMAD ABDUL-KARIM ◽  
STEVEN MAWHORTER ◽  
GARY W. PROCOP ◽  
PATRICK TCHOU ◽  
...  

Author(s):  
Roberta Green ◽  
Valeria Cantoni ◽  
Carmela Nappi ◽  
Valeria Gaudieri ◽  
Emilia Zampella ◽  
...  

2016 ◽  
Vol 32 (10) ◽  
pp. S138
Author(s):  
J. laaouaj ◽  
G. O'hara ◽  
F. Philippon ◽  
J. Sarrazin ◽  
I. Nault ◽  
...  

Heart Rhythm ◽  
2020 ◽  
Vol 17 (7) ◽  
pp. 1123-1124
Author(s):  
Andrew D. Krahn ◽  
David H. Birnie

2021 ◽  
Vol 37 (10) ◽  
pp. S56
Author(s):  
M Golian ◽  
N Le ◽  
W Alqarawi ◽  
M Sadek ◽  
A Klein ◽  
...  

2017 ◽  
Vol 45 (8) ◽  
pp. 866-871 ◽  
Author(s):  
Isabella Kozon ◽  
Sam Riahi ◽  
Søren Lundbye-Christensen ◽  
Anna Margrethe Thøgersen ◽  
Tove Ejlertsen ◽  
...  

2018 ◽  
Vol 71 (11) ◽  
pp. A369
Author(s):  
Sandhya Nagarakanti ◽  
Eliahu Bishburg ◽  
Anita Bapat

Heart Rhythm ◽  
2021 ◽  
Vol 18 (8) ◽  
pp. S390
Author(s):  
David Singh ◽  
Todd Seto ◽  
Shana Rosal Greif ◽  
Michael Schweikert ◽  
Nath Limpruttidham ◽  
...  

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