Delayed infection of the automatic implantable cardioverter- defibrillator. Current recognition and management

Three cases of delayed infection of automatic implantable cardioverter-defibrillator devices without systemic manifestations are reported. Computed tomographic scan of the heart revealed fluid deep to the patch in each case. Sonication of explanted automatic implantable cardioverter-defibrillator pa...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 1988-05, Vol.95 (5), p.908-911
Hauptverfasser:	Almassi, GH, Olinger, GN, Troup, PJ, Chapman, PD, Goodman, LR
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Amphotericin B - therapeutic use Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Candidiasis - drug therapy Candidiasis - etiology Cefazolin - therapeutic use Electric Countershock - instrumentation Emergency and intensive cardiocirculatory care. Cardiogenic shock. Coronary intensive care Humans Intensive care medicine Male Medical sciences Staphylococcal Infections - drug therapy Staphylococcal Infections - etiology Staphylococcus epidermidis Surgical Wound Infection - diagnosis Surgical Wound Infection - etiology Time Factors
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Beschreibung
Zusammenfassung:	Three cases of delayed infection of automatic implantable cardioverter-defibrillator devices without systemic manifestations are reported. Computed tomographic scan of the heart revealed fluid deep to the patch in each case. Sonication of explanted automatic implantable cardioverter-defibrillator patches facilitated the recovery of adherent microorganisms in one case. Management of this previously unrecognized problem is outlined.
ISSN:	0022-5223 1097-685X
DOI:	10.1016/s0022-5223(19)35705-8