Cardiac Device Implantation: Techniques and Best Practices.

Card Electrophysiol Clin

Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA; Division of Cardiac Electrophysiology, Central Virginia Veterans Affairs Health System, Richmond, VA, USA.

Published: December 2024

AI Article Synopsis

  • - Transvenous leads are the standard method used for treating heart rhythm issues like bradyarrhythmia and tachyarrhythmia.
  • - There are various risk factors for infections or complications related to cardiac devices, which involve both unchangeable patient characteristics and specific issues related to the device itself.
  • - To improve safety during procedures and patient care, it’s crucial to focus on thorough patient screening, minimizing infection risks, selecting appropriate leads, and using proper implant techniques.

Article Abstract

Transvenous leads continue to be the standard means to deliver bradyarrhythmia and tachyarrhythmia device therapy. Risk factors for cardiac implantable electronic devices (CIED) infection or complications of transvenous lead extraction (TLE) and mortality represent a complex interplay between non-modifiable patient-related factors and actionable implant-related characteristics or adverse events. Careful attention to patient screening, infection mitigation, lead selection, and implant technique may enhance safety of the index procedure and subsequent clinical management.

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Source
http://dx.doi.org/10.1016/j.ccep.2024.05.001DOI Listing

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