Percutaneous Lead Extraction in Infection of Cardiac Implantable Electronic Devices: a Systematic Review
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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| _version_ | 1876479676681027584 |
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| author | Antônio da Silva Menezes |
| author_facet | Antônio da Silva Menezes |
| contents | Percutaneous Lead Extraction in Infection of Cardiac Implantable Electronic Devices: a Systematic Review Antônio da Silva Menezes Thaís Rodrigues Magalhães Alana de Oliveira Alarcão Morais Medicina Review Methods Infection Device Removal Review Literature as Topic Introduction: In the last two decades, the increased number of implants of cardiac implantable electronic devices has been accompanied by an increase in complications, especially infection. Current recommendations for the appropriate treatment of cardiac implantable electronic devices-related infections consist of prolonged antibiotic therapy associated with complete device extraction. The purpose of this study was to analyze the importance of percutaneous extraction in the treatment of these devices infections.Methods: A systematic review search was performed in the PubMed, BVS, Cochrane CENTRAL, CAPES, SciELO and ScienceDirect databases. A total of 1,717 studies were identified and subsequently selected according to the eligibility criteria defined by relevance tests by two authors working independently.Results: Sixteen studies, describing a total of 3,354 patients, were selected. Percutaneous extraction was performed in 3,081 patients. The average success rate for the complete percutaneous removal of infected devices was 92.4%. Regarding the procedure, the incidence of major complications was 2.9%, and the incidence of minor complications was 8.4%. The average in-hospital mortality of the patients was 5.4%, and the mortality related to the procedure ranged from 0.4 to 3.6%. The mean mortality was 20% after 6 months and 14% after a one-year follow-up.Conclusion: Percutaneous extraction is the main technique for the removal of infected cardiac implantable electronic devices, and it presents low rates of complications and mortality related to the procedure. 2018 reseña 0102-7638 https://www.redalyc.org/articulo.oa?id=398955542015 https://www.redalyc.org/journal/3989/398955542015/ https://www.redalyc.org/journal/3989/398955542015/html/ https://www.redalyc.org/journal/3989/398955542015/398955542015.epub https://www.redalyc.org/journal/3989/398955542015/movil 10.21470/1678-9741-2017-0144 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.33 |
| format | Artículo científico |
| id | redalyc_398955542015 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Percutaneous Lead Extraction in Infection of Cardiac Implantable Electronic Devices: a Systematic Review Antônio da Silva Menezes Medicina Review Methods Infection Device Removal Review Literature as Topic Percutaneous Lead Extraction in Infection of Cardiac Implantable Electronic Devices: a Systematic Review Antônio da Silva Menezes Thaís Rodrigues Magalhães Alana de Oliveira Alarcão Morais Medicina Review Methods Infection Device Removal Review Literature as Topic Introduction: In the last two decades, the increased number of implants of cardiac implantable electronic devices has been accompanied by an increase in complications, especially infection. Current recommendations for the appropriate treatment of cardiac implantable electronic devices-related infections consist of prolonged antibiotic therapy associated with complete device extraction. The purpose of this study was to analyze the importance of percutaneous extraction in the treatment of these devices infections.Methods: A systematic review search was performed in the PubMed, BVS, Cochrane CENTRAL, CAPES, SciELO and ScienceDirect databases. A total of 1,717 studies were identified and subsequently selected according to the eligibility criteria defined by relevance tests by two authors working independently.Results: Sixteen studies, describing a total of 3,354 patients, were selected. Percutaneous extraction was performed in 3,081 patients. The average success rate for the complete percutaneous removal of infected devices was 92.4%. Regarding the procedure, the incidence of major complications was 2.9%, and the incidence of minor complications was 8.4%. The average in-hospital mortality of the patients was 5.4%, and the mortality related to the procedure ranged from 0.4 to 3.6%. The mean mortality was 20% after 6 months and 14% after a one-year follow-up.Conclusion: Percutaneous extraction is the main technique for the removal of infected cardiac implantable electronic devices, and it presents low rates of complications and mortality related to the procedure. 2018 reseña 0102-7638 https://www.redalyc.org/articulo.oa?id=398955542015 https://www.redalyc.org/journal/3989/398955542015/ https://www.redalyc.org/journal/3989/398955542015/html/ https://www.redalyc.org/journal/3989/398955542015/398955542015.epub https://www.redalyc.org/journal/3989/398955542015/movil 10.21470/1678-9741-2017-0144 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.33 |
| title | Percutaneous Lead Extraction in Infection of Cardiac Implantable Electronic Devices: a Systematic Review |
| topic | Medicina Review Methods Infection Device Removal Review Literature as Topic |
| url | https://www.redalyc.org/articulo.oa?id=398955542015 https://www.redalyc.org/journal/3989/398955542015/ https://www.redalyc.org/journal/3989/398955542015/html/ https://www.redalyc.org/journal/3989/398955542015/398955542015.epub https://www.redalyc.org/journal/3989/398955542015/movil |