Systemic infection due to subcutaneous implantable cardioverter-defibrillator implantation: Importance of early recognition and treatment of device pocket-related.

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Presentation transcript:

Systemic infection due to subcutaneous implantable cardioverter-defibrillator implantation: Importance of early recognition and treatment of device pocket-related complications Patrick M. Looser, MD, Layth Saleh, MD, George Thomas, MD, Jim W. Cheung, MD, FHRS HeartRhythm Case Reports Volume 3, Issue 1, Pages 40-42 (January 2017) DOI: 10.1016/j.hrcr.2016.08.014 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Physical appearance of the chest before subcutaneous implantable cardioverter-defibrillator system removal. Purulent drainage from the subxiphoid incision is shown. There is moderate swelling by the device pocket. The sub-suprasternal notch (superior) incision is intact, but erythema is noted. HeartRhythm Case Reports 2017 3, 40-42DOI: (10.1016/j.hrcr.2016.08.014) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Computed tomographic scan of the chest showing device pocket infection. A rim-enhancing fluid collection (11.4 × 5.1 × 10.1 cm) surrounding the subcutaneous implantable cardioverter-defibrillator generator is shown. A small pocket of air within the fluid collection is also shown. S-ICD = subcutaneous implantable cardioverter-defibrillator. HeartRhythm Case Reports 2017 3, 40-42DOI: (10.1016/j.hrcr.2016.08.014) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Still image from the video recording during device explantation. More than 200 cm3 of purulent fluid was drained upon incision of the device pocket site. HeartRhythm Case Reports 2017 3, 40-42DOI: (10.1016/j.hrcr.2016.08.014) Copyright © 2016 Heart Rhythm Society Terms and Conditions