IR@PKUHSC  > 北京大学第二临床医学院
学科主题临床医学
Reuse of infected cardiac rhythm management devices in the same individual
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
2012-10-01
DOI10.1007/s10840-012-9688-z
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
WOS记录号WOS:000308547700015
项目编号2007CB512008 ; D111100003011003 ; D111100003011006
资助机构National Key Basic Research Program (NKBRP) of China ; Key Program of Bejing Science and Technology Commission
引用统计
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63854
专题北京大学第二临床医学院
北京大学第二临床医学院_心血管内科
北京大学临床肿瘤学院_药剂科
北京大学精神卫生研究所_计算机室
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
推荐引用方式
GB/T 7714
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.
APA Duan Jiangbo.,Li Xuebin.,Zhang Ping.,Wang Long.,Li Ding.,...&Guo Jihong.(2012).Reuse of infected cardiac rhythm management devices in the same individual.JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY,35(1),109-114.
MLA Duan Jiangbo,et al."Reuse of infected cardiac rhythm management devices in the same individual".JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY 35.1(2012):109-114.
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