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学科主题: 临床医学
题名:
Reuse of infected cardiac rhythm management devices in the same individual
作者: Duan Jiangbo1,2; Li Xuebin1,2; Zhang Ping1,2; Wang Long1,2; Li Ding1,2; Chu Xianming2,3; Ze Feng1,2; Fang Yong1,2; Yuan Cuizhen1,2; Guo Jihong1,2
关键词: Pacemaker ; Infection ; Reuse of device ; Resterilization
刊名: JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY
发表日期: 2012-10-01
DOI: 10.1007/s10840-012-9688-z
卷: 35, 期:1, 页:109-114
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems
研究领域[WOS]: Cardiovascular System & Cardiology
关键词[WOS]: PACEMAKER REUSE ; NATIONS ; SAFETY ; DEFIBRILLATORS ; EFFICACY ; WORLD
英文摘要:

Infected device explantation is increasingly necessary given the rapid growth in cardiac rhythm management device (CRMD) implantation in China. However, some patients with CRMD infection are unlikely to be capable of paying for a new device. Reassuringly, evidence suggests that reuse of cardiac devices can be safe and feasible. In this study, we evaluated whether explanted cardiac devices, due to infection, can be reimplanted safely within the same individuals.

All patients with CRMD infection between 2007 and 2010 were entered into a computer database. From these, patients that had need for CRMD implantation and reimplantation of their infected device were analyzed for safety and complications.

Sixty patients had CRMD implantation after the infected device removal, and 44 (73.3 %) patients underwent procedures for reimplantation of their infected device. The mean age of the patients was 64.8 +/- 16.5 years, and 32 (72.7 %) were male. Indications for device explantation were: pocket infection (86.6 %) and endocarditis (11.4 %). The average follow-up was 20.4 +/- 9.0 months. Endocarditis recurred in one (2.3 %) patient with Brugada syndrome at 17 months after reimplantation of a refurbished implantable cardioverter-defibrillator. There were three deaths during the follow-up period secondary to myocardial infarction and cerebral vascular accident. No early battery depletion or device malfunction was identified during follow-up.

Our data emphasize that reimplantation of explanted CRMDs, due to infection, within the same individual is feasible, safe, and effective. Reuse of explanted CRMDs is an alternative choice for people in developing countries.

语种: 英语
所属项目编号: 2007CB512008 ; D111100003011003 ; D111100003011006
项目资助者: National Key Basic Research Program (NKBRP) of China ; Key Program of Bejing Science and Technology Commission
WOS记录号: WOS:000308547700015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63854
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Minist Educ, Key Lab Mol Cardiovasc Sci, Beijing, Peoples R China
2.Peking Univ, Dept Cardiac Electrophysiol, Peoples Hosp, Beijing 100871, Peoples R China
3.Qingdao Univ, Dept Cardiol, Coll Med, Affiliated Hosp, Qingdao 266071, Peoples R China

Recommended Citation:
Duan Jiangbo,Li Xuebin,Zhang Ping,et al. Reuse of infected cardiac rhythm management devices in the same individual[J]. JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY,2012,35(1):109-114.
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