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Infections involving cardiovascular implantable electronic devices (CIEDs) remain an unfortunate indication for repeated device-related procedures, including extractions and reimplantations. Recurrent infections involving transvenous leads and superficial device pockets may eventually lead to epicardial lead implantation and generator placement in deeper tissue planes, both of which require a more invasive surgical approach. We present a unique case of a patient with recurrent CIED-related pocket infections involving both transvenous and epicardial pacing systems that was ultimately addressed with implantation of an investigational leadless cardiac pacemaker.

Implantation of a leadless cardiac pacemaker for recurrent pocket infections