Outcomes after endocarditis or device infection in patients with left ventricular epicardial leads versus coronary sinus leads
| العنوان: | Outcomes after endocarditis or device infection in patients with left ventricular epicardial leads versus coronary sinus leads |
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| المؤلفون: | Oussama M. Wazni, Walid Saliba, Saima Karim, Ayman A. Hussein, Thomas Callahan, Mohammad M. Karim, Bruce L. Wilkoff, David O. Martin, Omar Batal, M Kanj, Khaldoun G. Tarakji |
| المصدر: | Journal of Interventional Cardiac Electrophysiology. 39:267-271 |
| بيانات النشر: | Springer Science and Business Media LLC, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Prosthesis-Related Infections, medicine.medical_treatment, Cardiac resynchronization therapy, Recurrence, Risk Factors, Physiology (medical), Internal medicine, Humans, Medicine, Endocarditis, Cardiac Resynchronization Therapy Devices, Lead (electronics), Survival rate, Device Removal, Coronary sinus, Aged, Retrospective Studies, business.industry, Medical record, Retrospective cohort study, medicine.disease, Cardiovascular Diseases, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Social Security Death Index |
| الوصف: | There is scant data about outcomes in patients with left ventricular epicardial (LVE) leads who develop endocarditis or device-related infection. This retrospective study evaluated mortality and recurrence of infection among patients with LVE leads in comparison to patients with endovascular coronary sinus (CS) leads after the development of endocarditis or device-related infection. Patients with cardiac resynchronization therapy (CRT) devices who developed endocarditis or pocket infection over 5 years at Cleveland Clinic were included in the study. The groups were all patients with LVE leads versus CRT devices without epicardial leads that developed endocarditis or pocket infection. Mortality was assessed using the Social Security Death Index and re-infection was assessed by reviews of the medical record. Prospective extraction of the CRT device and leads occurred among all 50 patients with CS leads and 8 of the 14 patients with LVE leads. The survival rate was 92.9 versus 92 % and freedom from re-infection rate was 64.3 versus 80 % in the patients with LVE leads versus CS leads, respectively, over 1 year (P value = 0.918 and 0.226, respectively). At 3 years, the survival rate in LVE lead group was 92.9 % and freedom from re-infection rate was 64.3 % in comparison to survival rate of 90 % and freedom from re-infection rate of 68 % in the CS group (P value = 0.751 and 0.798, respectively). After development of endocarditis or pocket infection, no statistically significant differences were seen in mortality, or recurrent infection between patients with LVE leads and those with CS leads. |
| تدمد: | 1572-8595 1383-875X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3b3c3a9f34b54ec835295faac7837f7e https://doi.org/10.1007/s10840-014-9880-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....3b3c3a9f34b54ec835295faac7837f7e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15728595 1383875X |
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