EP Fellows Curriculum: Cardiac Implantable Electronic Device Infections-EP Fellows Curriculum: Cardiac Implantable Electronic Device Infections

Video Transcription

Video Summary

In the video, the speaker discusses the increasing problem of device infections, particularly in patients with cardiac implantable electronic devices (CIEDs). Device infections are a significant issue due to the high number of patients receiving implants each year and the rising infection rates. There is a need to improve the understanding and management of these infections to reduce their impact on patients.<br /><br />The speaker highlights that most device infections are caused by Staphylococcal species, particularly Staphylococcus aureus and coagulase-negative Staphylococci. These infections are difficult to treat as the bacteria form biofilms on the devices, making them resistant to antibiotics. The current treatment approach involves complete removal of the infected device and leads, followed by a course of antibiotics. However, more research is needed to determine optimal treatment strategies and prevent recurrent infections. <br /><br />The speaker also mentions new technologies such as subcutaneous ICDs and leadless pacemakers, which may have a lower risk of infection. Preventive measures including perioperative pharmacotherapy and antibiotic irrigation of the pocket are discussed, as well as the use of antibiotic envelopes. The speaker emphasizes the importance of accurate diagnosis, particularly in cases of lead infections, and the need for further research to fill gaps in knowledge and improve management strategies.

Keywords

device infections

CIEDs

infection rates

Staphylococcal species

biofilms

antibiotics

treatment strategies

subcutaneous ICDs

leadless pacemakers