Diagnosis of Cardiac Device-Related Infective Endocarditis After Device Removal

被引:38
|
作者
Le Dolley, Yvan [1 ]
Thuny, Franck [1 ]
Mancini, Julien [1 ]
Casalta, Jean-Paul [2 ]
Riberi, Alberto [1 ]
Gouriet, Frederique [2 ]
Bastard, Emilie [1 ]
Ansaldi, Sebastien [1 ]
Franceschi, Frederic [1 ]
Renard, Sebastien [1 ]
Prevot, Sebastien [1 ]
Giorgi, Roch [1 ]
Tafanelli, Laurence [1 ]
Avierinos, Jean-Francois [1 ]
Raoult, Didier [2 ]
Deharo, Jean-Claude [1 ]
Habib, Gilbert [1 ]
机构
[1] Hop Enfants La Timone, Dept Cardiol, F-13005 Marseille, France
[2] Hop Enfants La Timone, Dept Infect Dis, F-13005 Marseille, France
关键词
defibrillator; endocarditis; lead infection; pacemaker; SINGLE-OPERATOR EXPERIENCE; PACEMAKER LEADS; INTRACARDIAC ECHOCARDIOGRAPHY; CARDIOVERTER-DEFIBRILLATORS; PERMANENT PACEMAKER; SYSTEMIC INFECTION; HEART-FAILURE; EXTRACTION; MANAGEMENT; RESYNCHRONIZATION;
D O I
10.1016/j.jcmg.2009.12.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES We sought to determine the incidence, diagnostic value, and outcome of intracardiac masses observed by echocardiography after device removal. We hypothesized that these "ghosts" of leads could be associated with the diagnosis of cardiac device-related infective endocarditis (CDRIE). BACKGROUND The echocardiographic appearance of residual floating masses in the right atrium after removal of permanent pacemakers and implantable cardioverter-defibrillators was recently described. However, the significance of these ghosts and their relationship with CDRIE are unknown. METHODS The pre-operative clinical, microbiological, and echocardiographic conditions; the indication; and the removal technique were analyzed in a retrospective cohort including all consecutive patients who underwent percutaneous lead removal. Three groups were formed according to the final diagnosis: CDRIE, local device infection, and noninfectious indications. The incidence of ghosts was compared among the 3 groups. All clinical, infectious, and extraction-related factors were studied for their association with ghosts. All patients with ghosts were followed after hospitalization. RESULTS Two hundred twelve patients underwent lead removal. Ghosts were observed in 17 patients (8% incidence), including 14 (16%) of 88 patients with CDRIE and 3 (5%) of 59 patients with local device infection. Ghosts were never observed among the remaining 65 noninfected patients. A significant association was found between CDRIE and the presence of a ghost (odds ratio: 7.63, 95% confidence interval: 2.12 to 27.45, p = 0.001). At 3 months, 2 patients with ghosts died suddenly, 2 underwent surgery, and 1 had a pulmonary embolism. CONCLUSIONS Ghosts are observed in 8% of patients after percutaneous device extraction. Their presence is suggestive of device infection and seems to be associated with the diagnosis of CDRIE. The prognostic significance of such findings needs further investigation. (J Am Coll Cardiol Img 2010;3: 673-81) (c) 2010 by the American College of Cardiology Foundation
引用
收藏
页码:673 / 681
页数:9
相关论文
共 50 条
  • [1] CORRELATION OF CARDIAC DEVICE-RELATED MASSES AND INFECTIVE ENDOCARDITIS
    Elbadawi, Ayman
    Biniwale, Nishit
    Tahir, Muhammad Waqas
    Alotaki, Erfan
    Almahmoud, Mohamed Faher
    Barakat, Amr
    Funderburk, Matthew
    Falsey, Ann R.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2019, 73 (09) : 349 - 349
  • [2] Cardiac device-related infective endocarditis: a challenge condition
    Helena Nascimento, H.
    Braga, M.
    Flores, L.
    Ribeiro, V.
    Melao, F.
    Paula, D.
    Maciel, M. J.
    [J]. EUROPEAN JOURNAL OF HEART FAILURE, 2018, 20 : 401 - 402
  • [3] Cardiac device-related infective endocarditis; analysis of 15 cases
    Elbey, Mehmet Ali
    Eren, Nihan Kahya
    Kalkan, Mehmet Emin
    Demirtas, Sinan
    Kahraman, Fatih
    Sayin, Rasit
    Oylumlu, Mustafa
    Kayan, Fethullah
    [J]. TURK KARDIYOLOJI DERNEGI ARSIVI-ARCHIVES OF THE TURKISH SOCIETY OF CARDIOLOGY, 2013, 41 (02): : 131 - +
  • [4] Predictors of Mortality in Patients with Cardiac Device-Related Infective Endocarditis
    Oliveira, Gustavo Brandao
    Fae, Isabela Galizzi
    Carvalho, Vinicius Tostes
    Pinto, Pedro Henrique Oliveira Murta
    Duque, Roni Arley Silva
    Gelape, Fernanda Alves
    Cambraia, Fernanda Sophya Leite
    Costa, Guilherme Lelis
    Diamante, Lucas Chaves
    Braulio, Renato
    Gelape, Claudio Leo
    Sousa, Marcos Roberto
    Ferrari, Teresa Cristina Abreu
    Nunes, Maria Carmo Pereira
    [J]. TROPICAL MEDICINE AND INFECTIOUS DISEASE, 2024, 9 (09)
  • [5] Vacuum-Implemented Removal of Lead Vegetations in Cardiac Device-Related Infective Endocarditis
    Tarzia, Vincenzo
    Ponzoni, Matteo
    Evangelista, Giuseppe
    Tessari, Chiara
    Bertaglia, Emanuele
    De Lazzari, Manuel
    Zanella, Fabio
    Pittarello, Demetrio
    Migliore, Federico
    Gerosa, Gino
    [J]. JOURNAL OF CLINICAL MEDICINE, 2022, 11 (15)
  • [6] One-year mortality of cardiac device-related infective endocarditis
    Le Dolley, Y. L. D.
    Thuny, F. T.
    Quatre, A. Q.
    Ansaldi, S. A.
    Deharo, J. C. D.
    Habib, G.
    [J]. EUROPEAN HEART JOURNAL, 2010, 31 : 466 - 467
  • [7] 18F-FDG PET/CT in the diagnosis of cardiac device-related infective endocarditis
    André Azul Freitas
    Luis Elvas
    Rodolfo Silva
    Lino Gonçalves
    Maria João Ferreira
    [J]. Journal of Nuclear Cardiology, 2021, 28 : 3093 - 3095
  • [8] 18F-FDG PET/CT in the diagnosis of cardiac device-related infective endocarditis
    Freitas, Andre Azul
    Elvas, Luis
    Silva, Rodolfo
    Goncalves, Lino
    Ferreira, Maria Joao
    [J]. JOURNAL OF NUCLEAR CARDIOLOGY, 2021, 28 (06) : 3093 - 3095
  • [9] Clinical manifestations of device-related infective endocarditis in cardiac resynchronization therapy recipients
    Jedrzejczyk-Patej, Ewa
    Mazurek, Michal
    Kowalski, Oskar
    Sokal, Adam
    Liberska, Agnieszka
    Szulik, Mariola
    Podolecki, Tomasz
    Kalarus, Zbigniew
    Lenarczyk, Radoslaw
    [J]. ARCHIVES OF MEDICAL SCIENCE, 2021, 17 (03) : 638 - 645
  • [10] The emergence of Staphylococcus aureus as the primary cause of cardiac device-related infective endocarditis
    Jean-Marie Urien
    Christophe Camus
    Christophe Leclercq
    Loren Dejoies
    Philippe Mabo
    Raphael Martins
    Sarrah Boukthir
    François Bénézit
    Nathalie Behar
    Matthieu Revest
    Sylvain Bodi
    Julien Bila
    Erwan Donal
    Pierre Tattevin
    [J]. Infection, 2021, 49 : 999 - 1006