Cardiac implantable electronic device (CIED)-related complications and infections typically lead to prolonged hospital stays and, very occasionally, death. A new CIED insertion protocol was implemented in a district general hospital. The primary objective of this study was to determine whether a significant reduction in complication and infection rates occurred after implementation of the new protocol. Medical records were reviewed for patients who had a CIED inserted in the two years pre- and post-protocol implementation, and any complications were identified in a one-year follow-up period. An increase in the complexity of the devices implanted after introduction of the protocol was observed. The number of complications was significantly reduced from 6.86% to 3.95% (p<0.0001). In the two years prior to protocol implementation, 14 of 871 (1.6%) patients suffered a CIED-related infection. In contrast, four of 683 (0.44%) patients suffered a CIEDrelated infection in the two years postimplementation. This was not statistically significant (p=0.093). In conclusion, implementing a standardised protocol for CIED insertion significantly reduced the rate of complications, and also reduced the rate of infection, but this was not statistically significant.
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http://dx.doi.org/10.5837/bjc.2021.027 | DOI Listing |
Antimicrob Resist Infect Control
December 2024
Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Background: The necessity of post procedural prophylactic antibiotics following clean surgeries is controversial. While most evidence suggests that there is no benefit from these additional antibiotics and guidelines do not support their use, there is a paucity of evidence as to how often they are still being used and their impact on infection outcomes. The current study assessed the use of prophylactic antibiotics following cardiac implantable electronic device (CIED) implantations in the province of Alberta, and their impact on infection and mortality.
View Article and Find Full Text PDFHeart Rhythm
November 2024
Department of Cardiovascular Medicine, University of Yamanashi, Chuo, Japan.
Heart Rhythm
September 2024
Division of Cardiology, Section of Electrophysiology, Emory University School of Medicine, Atlanta, Georgia. Electronic address:
Background: Lead-related venous stenosis and occlusion can complicate the insertion or replacement of transvenous leads in patients with cardiac implantable electronic devices (CIEDs). A possible solution is to tunnel the lead from the contralateral vasculature to the ipsilateral generator. Procedural complications and long-term outcomes remain unclear with this technique.
View Article and Find Full Text PDFAnn Noninvasive Electrocardiol
September 2024
Department of Electrophysiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan.
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