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How to Manage the Patient with CIED Infection?
1. How to Manage the Patient
with CIED Infection?
Sergio L. Pinski, MD, FHRS
Cleveland Clinic Florida
Weston, FL, USA
@SergioPinski
2. Management of CIED Infection
• Remove all hardware
• Give ATB, wait for infection to clear
• Reimplant similar device from contralateral
site
3. Nuances
• Diagnosis
• Extraction approach
• Patients who are not candidates for
extraction
• Duration of waiting period
• Bridging
• Continuing need for device therapy
• Alternative devices, implant sites