Review of cardiac implantable electronic device related infection

Émile Saliba,1 Emmanuelle Massie,2 Ying Tung Sia3 1Cardiology Department, Hôtel-Dieu de Montréal, Montréal, QC, Canada; 2Internal Medicine Department, Hôpital Saint Luc, Montréal, QC, Canada; 3Cardiology Department, Hôpital Pierre Boucher, Longueuil, QC, Canada Abstract: Cardiac implantable electronic devices (CIEDs) are being used more and more often nowadays. Indications have grown, and access to implantation facilities has increased as well. These devices are often lifesaving, and they can be associated with many other benefits. However, as with any medical procedure, complications can occur. In fact, CIED infection is a prevalent complication that can cause high morbidity and can even lead to death. It is important that most clinicians be familiar with signs and symptoms associated with CIED infection as early diagnosis and treatment lead to better outcomes. Nonetheless, the prevention of such infections remains the cornerstone in the management of CIED-related infections. In this paper, we will review in detail the most significant risk factors that can lead to CIED infection. We will also explore the different available tools that can help decrease the incidence of this complication. In addition, we will summarize the different treatment modalities and the major prevention methods. Keywords: cardiac implantable electronic device, infection, pacemaker, endocarditi