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Infection of an Implantable Cardioverter Defibrillator: Management Without Removal of the Device in Selected Cases
Author(s) -
TAYLOR ROBERT L.,
COHEN DAVID J.,
WIDMAN LAWRENCE E.,
CHILTON ROBERT J.,
O'ROURKE ROBERT A.
Publication year - 1990
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1990.tb04005.x
Subject(s) - medicine , implantable cardioverter defibrillator , intensive care medicine , medical emergency , cardiology
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.