1. Salvage of focally infected implantable cardioverter-defibrillator system by in situ hardware sterilization 
Robert D. Schaller, DO, FHRS, Joshua M. Cooper, MD, FHRS 
HeartRhythm Case Reports 
Volume 3, Issue 9, Pages (September 2017)
DOI: /j.hrcr
Copyright © 2017 Heart Rhythm Society Terms and Conditions

2. Figure 1
A: Left pectoral implantable cardiac defibrillator wound, failing to heal in a focal spot, even after 12 months. B: Left arm venogram showing total occlusion of the left subclavian vein and vigorous venous collaterals.
HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr )
Copyright © 2017 Heart Rhythm Society Terms and Conditions

3. Figure 2
Stages of the first part of the procedure. A: Elliptical incision around the nonhealing wound site. B: Discovery of the suture sleeve immediately beneath the spot of recurrent ulceration. C: Debridement of the local scar capsule tissue around the suture sleeve and lead. D: The suture sleeve was longitudinally cut and removed. E: Irrigation with diluted povidone-iodine solution. F: Irrigation with diluted alcohol.
HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr )
Copyright © 2017 Heart Rhythm Society Terms and Conditions

4. Figure 3
Stages of the second part of the procedure. A: A strip was cut from a nonabsorbable antibiotic mesh pouch (rifampin + minocycline) that was available at the time of the procedure in B: Wrapping the mesh antibiotic strip around the exposed lead segment. C: Wrapped lead in the wound. D: Full closure of the wound with 3 layers of absorbable suture.
HeartRhythm Case Reports 2017 3, DOI: ( /j.hrcr )
Copyright © 2017 Heart Rhythm Society Terms and Conditions