Cardiac Device Implantation: Techniques and Best Practices

Ajay Pillai; Jose F Huizar; Jayanthi N Koneru; Karoly Kaszala

doi:10.1016/j.ccep.2024.05.001

Cardiac Device Implantation: Techniques and Best Practices

Card Electrophysiol Clin. 2024 Dec;16(4):325-338. doi: 10.1016/j.ccep.2024.05.001. Epub 2024 Sep 20.

Authors

Ajay Pillai¹, Jose F Huizar², Jayanthi N Koneru³, Karoly Kaszala⁴

Affiliations

¹ Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA. Electronic address: [email protected].
² Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA; Division of Cardiac Electrophysiology, Central Virginia Veterans Affairs Health System, Richmond, VA, USA. Electronic address: https://twitter.com/JoseFcoHuizar.
³ Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA. Electronic address: https://twitter.com/jaykoneru.
⁴ Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA; Division of Cardiac Electrophysiology, Central Virginia Veterans Affairs Health System, Richmond, VA, USA.

PMID: 39461824
DOI: 10.1016/j.ccep.2024.05.001

Abstract

Transvenous leads continue to be the standard means to deliver bradyarrhythmia and tachyarrhythmia device therapy. Risk factors for cardiac implantable electronic devices (CIED) infection or complications of transvenous lead extraction (TLE) and mortality represent a complex interplay between non-modifiable patient-related factors and actionable implant-related characteristics or adverse events. Careful attention to patient screening, infection mitigation, lead selection, and implant technique may enhance safety of the index procedure and subsequent clinical management.

Keywords: Cardiac implantable electronic device; Implantable cardioverter defibrillator; Lead extraction; Lead implantation; Pacemaker.

Publication types

Review

MeSH terms

Defibrillators, Implantable* / adverse effects
Device Removal / methods
Humans
Pacemaker, Artificial* / adverse effects
Prosthesis Implantation
Prosthesis-Related Infections / prevention & control
Risk Factors