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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Language: | English |
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Wiley
2023-01-01
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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. |
format | Article |
id | doaj-art-c3a68ab54a4648d992937c1beb29a420 |
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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