A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis

Leadless pacing systems have revolutionized the field of electrophysiology given its low complication rates and almost non-existent rate of infections compared with traditional pacemakers. These devices boast resistance to infections given its unique features; however, as described in this report, d...

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Main Authors: Himax Patel, Sean Harrell, Haitham Hreibe, Musa Sharkawi, Wael AlJaroudi
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2023/8326020
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author Himax Patel
Sean Harrell
Haitham Hreibe
Musa Sharkawi
Wael AlJaroudi
author_facet Himax Patel
Sean Harrell
Haitham Hreibe
Musa Sharkawi
Wael AlJaroudi
author_sort Himax Patel
collection DOAJ
description Leadless pacing systems have revolutionized the field of electrophysiology given its low complication rates and almost non-existent rate of infections compared with traditional pacemakers. These devices boast resistance to infections given its unique features; however, as described in this report, device-related infection from these leadless devices is still possible. In patients with leadless pacing system that is persistently bacteremic in the future, evaluation of the device with transesophageal echocardiogram or intracardiac echocardiography should be performed, and if vegetation is noted on the device, device extraction should highly be considered, along with empiric intravenous antibiotics. Lastly, new leadless device should not be re-implanted within 2 weeks of the removal of the infected device to prevent seeding of the new device.
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institution Kabale University
issn 2090-6412
language English
publishDate 2023-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-c3a68ab54a4648d992937c1beb29a4202025-02-03T05:57:25ZengWileyCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/8326020A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker EndocarditisHimax Patel0Sean Harrell1Haitham Hreibe2Musa Sharkawi3Wael AlJaroudi4Augusta University Medical CenterAugusta University Medical CenterAugusta University Medical CenterAugusta University Medical CenterAugusta University Medical CenterLeadless pacing systems have revolutionized the field of electrophysiology given its low complication rates and almost non-existent rate of infections compared with traditional pacemakers. These devices boast resistance to infections given its unique features; however, as described in this report, device-related infection from these leadless devices is still possible. In patients with leadless pacing system that is persistently bacteremic in the future, evaluation of the device with transesophageal echocardiogram or intracardiac echocardiography should be performed, and if vegetation is noted on the device, device extraction should highly be considered, along with empiric intravenous antibiotics. Lastly, new leadless device should not be re-implanted within 2 weeks of the removal of the infected device to prevent seeding of the new device.http://dx.doi.org/10.1155/2023/8326020
spellingShingle Himax Patel
Sean Harrell
Haitham Hreibe
Musa Sharkawi
Wael AlJaroudi
A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
Case Reports in Cardiology
title A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
title_full A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
title_fullStr A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
title_full_unstemmed A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
title_short A Rare Case of Persistent Bacteremia: Leadless Micra Pacemaker Endocarditis
title_sort rare case of persistent bacteremia leadless micra pacemaker endocarditis
url http://dx.doi.org/10.1155/2023/8326020
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