Indications and clinical results of various techniques for removing the endocardial electrode system

Authors: A.V. Novikov, S.Yu. Serguladze

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

UDC: 616.12-073.7-089.87:615.844
DOI: https://doi.org/10.24022/1810-0694-2019-20-11-12-895-903

Cite as: Novikov A.V., Serguladze S.Yu. Indications and clinical results of various techniques for removing the endocardial electrode system. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2019; 20 (11–12): 895–903 (in Russ.). DOI: 10.24022/1810-0694-2019-20-11-12-895-903

Received / Accepted: 20.09.2019/08.10.2019

Keywords: infectious endocarditis electrode extraction

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Abstract

The number of implants of various devices for continuous pacemaking in recent years is constantly growing, as a result of an increase in population, increased life expectancy, adoption of new recommendations and improved access to health care. However, the number of procedures associated with the removal of endocardial electrode systems, which are part of the overall strategy in the treatment of infectious complications and failure of implanted devices, is correspondingly increasing. Clinical studies are important in understanding the efficacy and risks of removing endocardial electrodes, which has important implications for making decisions about the method of removing electrodes, as well as strategies for the therapeutic treatment of patients. Today, implantation of devices is an effective and safe procedure. However, the question of treating infections that cause a significant increase in morbidity, mortality and creating health costs remains open. There are no international guidelines for the treatment of this group of patients, therefore, practicing surgeons use various methods to remove the endocardial electrode system, based on their experience, knowledge and preparedness.

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About the authors

Aleksandr V. Novikov, Junior Researcher, Cardiovascular Surgeon; orcid.org/0000-0003-0842-0520
Sergey Yu. Serguladze, Dr. Med. Sc., Senior Researcher, Head of Department of Surgical Treatment of Tachyarrhythmias; orcid.org/0000-0001-7233-3611

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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