Same-Day Pacemaker Reimplantation in Patients with Pacing Dependency after Infected Pacemaker Extraction: Feasibility and Long-Term Outcomes

Dandan Yang1,2#, Jiangbo Duan1,2#, Ding Li1,2, Feng Ze1,2, Jinshan He1,2, Long Wang1,2, Cuizhen Yuan1,2 and Xuebin Li1,2*

1Department of Cardiac Electrophysiology, Peking University People’s Hospital, Beijing, China
2Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing, China
#These authors contributed equally to this work

^*Correspondance to: Xuebin Li 

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Abstract:

Background: Infection is a common complication of pacemaker implantation. Affected patients must undergo device removal; however, the optimal timing of new pacemaker reimplantation after infected pacemaker removal is still under debate. Some patients require reimplantation as soon as possible; however, the safety of same-day reimplantation is controversial. Objective: We sought to evaluate the safety and outcomes of same-day reimplantation in patients diagnosed with pacemaker device infection after lead extraction. Methods: We recruited patients who underwent same-day pacemaker reimplantation at our center after complete lead extraction due to infection between May 2014 and December 2018. Results: A total of 24 patients (median age, 72 years; range, 3 to 92 years) underwent same-day reimplantation after successful pacemaker extraction. All patients demonstrated isolated pocket infection and were pacemaker-dependent. The average follow-up period was 59.7 ± 16.5 months. Two patients died 3 years after the procedure due to sudden non-cardiac death. None of the patients developed reinfection. Conclusion: In this study, same-day reimplantation of a new pacemaker was safe and feasible in patients with isolated pocket infection after extraction of the infected pacemaker.

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Cite the Article:

Yang D, Duan J, Li D, Ze F, He J, Wang L, et al. Same-Day Pacemaker Reimplantation in Patients with Pacing Dependency after Infected Pacemaker Extraction: Feasibility and Long-Term Outcomes. Ann Clin Case Rep. 2022; 7: 2240..