Title : Infections involving cardiac implantable electronic devices
Abstract:
CIED pocket infection should be suspected when there is inflammation overlying the implanted device (including erythema, swelling, warmth, pain, and tenderness), purulent drainage from the pocket, deformation of the pocket, or erosion of the device or lead through the skin, in the absence of systemic symptoms. The diagnosis of isolated pocket infection is established by the presence of one or more of these manifestations in the setting of negative blood cultures and negative transesophageal echocardiography. The approach to evaluation of suspected pocket infection is discussed.
