Infection of an Implantable Cardioverter Defibrillator: Management Without Removal of the Device in Selected Cases

ROBERT L. TAYLOR, DAVID J. COHEN, LAWRENCE E. WIDMAN, ROBERT J. CHILTON, ROBERT A. O'ROURKE

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

A case is presented in which an implantable Cardioverter defibrillator (ICD) became infected in the abdominal wall pocket 5 weeks following implantation. There was no evidence clinically or by computed tomographic scan suggesting mediastinal extension of the infection. The infection was treated successfully by debriding the abdominaJ wall pocket followed by a combination of pocket irrigation with antibiotic solution, parenteraJ antibiotics, and long‐term oral antibiotics. This conservative therapy was and avoided removal of the device.

Original languageEnglish (US)
Pages (from-to)1352-1355
Number of pages4
JournalPacing and Clinical Electrophysiology
Volume13
Issue number11
DOIs
StatePublished - Nov 1990

Keywords

  • ICD
  • antibiotic irrigation
  • complications
  • implantable Cardioverter defibrillator
  • wound infection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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