Work

Extravascular ICD as a Viable Solution After CIED Lead Extraction: A Case Report

Year: 2025

Type: article

Abstract: Post-implantation infections of pacemakers or defibrillators represent a serious complication, impacting patient morbidity and mortality. We present a case involving a 75-year-old male with multiple comorbidities who developed pocket erosion of a previously implanted biventricular defibrillator, complicated by Staphylococcus haemolyticus infection. Following device extraction and targeted antibiotic therapy, an extravascular implantable cardioverter defibrillator (EV-ICD; Aurora EV-ICD) was implanted. The procedure was successfully performed, with a 2-month follow-up showing no signs of infection or device displacement. EV-ICD appears to be a safe and effective alternative for high-risk patients, minimizing complications associated with vascular access and endocardial lead implantation.

Source: Pacing and Clinical Electrophysiology

DOI: 10.1111/pace.70045

Authors: Giuseppe Coppola, Salvatore Torre, Leonardo D'Amico, Amedeo Calè, Alfredo R. Galassi, Egle Corrado

Institution: Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W4415032349