Login
Search
Search
0 Dates
2024
2023
2022
2021
2020
2019
2018
0 Events
CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
Slides
Vídeo
Report
CLEAR FILTERS
Absorbable antibacterial envelope for the prevention of cardiac implantable electronic device infection in high risk patients: what is our reality?
Session:
Posters 3 - Écran 8 - Arritmologia
Speaker:
Hugo Miranda
Congress:
CPC 2019
Topic:
C. Arrhythmias and Device Therapy
Theme:
09. Device Therapy
Subtheme:
09.6 Device Therapy - Other
Session Type:
Posters
FP Number:
---
Authors:
Hugo Miranda; António Valentim Gonçalves; Bruno Tereno Valente; André Viveiros Monteiro; Ana Sofia Delgado; Manuel Braz; Rui Cruz Ferreira; Mário Martins Oliveira
Abstract
<p>Introduction:<br /> Infection of cardiac implantable electronic devices (CIED) have increased in recent years and are associated with longer hospital stays, need for device extraction and high morbidity and mortality rates. Absorbable antibacterial envelope has emerged with the aim of preventing infections associated with CIED, stabilizing the generator and reducing the likelihood of skin erosion. We aimed to study CIED infection rates in patients receiving an antibacterial envelope.<br /> <br /> Methods: <br /> Observational, longitudinal study over a period of 2,5 years (November 2015 - April 2018) in patients with ≥2 risk factors for infection undergoing a CIED implant, treated with the absorbable antibacterial envelope. Patients were evaluated at 3, 6 and 12 months after intervention.<br /> <br /> Results: <br /> A total of 44 patients were included (72.7% males, 65±16 years). Hypertension (77.3%), Replacement/Revision of CIED (77.3%) and Congestive Heart Failure (52.3%) were the most frequent risk factors for infection in our population. Of note is the presence of previous device infections in 20.46% of the cases. We found that 36.4% and 27.7% presented, respectively, an intermediate or high infectious risk (Mittal score), and 59.1% presented a high risk of infection (Shariff score). Mean Mittal and Shariff scores of 10.95±5.89 and 3.05±1.75, respectively, revealed a population with high infectious risk. Regarding infectious complications we documented one case of pocket infection (2.27%). One patient died due to complications of a cardiac valve surgery.<br /> <br /> Conclusion:<br /> In patients identified at high risk for CIED infection, use of an antibacterial envelope was associated with a low incidence of infection according to previously published literature.</p>
Slides
Our mission: To reduce the burden of cardiovascular disease
Visit our site