Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jan 3;13(1):e12457.
doi: 10.7759/cureus.12457.

Strategies to Promote Long-Term Cardiac Implant Site Health

Affiliations
Review

Strategies to Promote Long-Term Cardiac Implant Site Health

Jane Taleski et al. Cureus. .

Abstract

In the past several decades there has been a continuous growth in the field of cardiac implantable electronic devices (CIED) implantation procedures as well as their technological development. CIEDs utilize transvenous leads that are introduced into the heart via the axillary, subclavian, or cephalic veins, as well as a devices generator that is implanted in a subcutaneous pocket, typically in the pre-pectoral region. Despite this significant improvement, complication rates range from 1-6% with current implant tools and techniques. In this review we will discuss the three central parts of the CIED implantation procedure, their impact on implantation site, infections, and possibilities for its prevention.

Keywords: cardiac implantable electronic device (cied); central venous access; incision site; pacemaker complications; wound suture.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections. Blomström-Lundqvist C, Traykov V, Erba PA, et al. Eur J Cardiothorac Surg. 2020;57:1–31. - PubMed
    1. Implantation trends and patient profiles for pacemakers and implantable cardioverter defibrillators in the United States: 1993-2006. Kurtz SM, Ochoa JA, Lau E, et al. Pacing Clin Electrophysiol. 2010;33:705–711. - PubMed
    1. 2013 ESC guidelines on cardiac pacing and cardiac resynchronization therapy. Brignole M, Auricchio A, Baron-Esquivias G, et al. Europace. 2013;15:1070–1118.
    1. Preferred tools and techniques for implantation of cardiac electronic devices in Europe: results of the European Heart Rhythm Association survey. Bongiorni MG, Proclemer A, Dobreanu D, Marinskis G, Pison L, Blomstrom-Lundqvist C. Europace. 2013;15:1664–1668. - PubMed
    1. Complications arising from cardiac implantable electrophysiological devices: review of epidemiology, pathogenesis and prevention for the clinician. Atreya AR, Cook JR, Lindenauer PK. Postgrad Med. 2016;128:223–230. - PubMed

LinkOut - more resources