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

Published byΣαῦλος Τρικούπη Modified over 5 years ago

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Presentation on theme: "Systemic infection due to subcutaneous implantable cardioverter-defibrillator implantation: Importance of early recognition and treatment of device pocket-related."— Presentation transcript:

1 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 (January 2017) DOI: /j.hrcr Copyright © 2016 Heart Rhythm Society Terms and Conditions

2 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: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

3 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: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

4 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: ( /j.hrcr ) Copyright © 2016 Heart Rhythm Society Terms and Conditions

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