Pacemaker/ICD infection: focusing on the prevention
Pacemaker/ICD-infekció: fókuszban a prevenció
Benák Attila, Sághy László
The gradually increasing number of pacemaker and ICD infection requires more focus on primary prevention and alternative systems such as the leadless pacemakers and the subcutaneous ICDs. Infection prevention is a complex, multi-level process, which desires acknowledgments of the patient-, device- and periprocedural factors. The current review is aiming to provide an overview of the possible strategies of infection prevention, such as the perioperative anticoagulant and antibiotic therapy, surgical techniques, usage of the antibacterial envelope, and the prevention of reinfection after successful transvenous lead removal. The review is based on the recently published EHRA international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections.