|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|
|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|
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.
|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|
|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
|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.|