Cardiac Rhythm Management


The Device is Out: What's Next?

Introduction: Given the rising number of explanted transvenous pacemakers, ICDs, and CRT, careful attention needs to be given to peri- and post-operative care. Infection of cardiac implantable electronic devices (CIEDs), heart failure, renal insufficiency, diabetes, and low BMI can contribute to high mortality rates despite successful procedures. Pacing and ICD indications along with wound care and vascular access issues need to be considered carefully prior to re-implantation to ensure clinical success.

Objectives: The presentation demonstrates a step-by-step approach that illustrates optimal systematic post-operative care strategies following device and lead extraction.




Victor Pretorious, MBchB
Division of Cardiothoracic Surgery
University of California, San Diego

device-is-out-p1-vid-thumb Play Part I
device-is-out-p1-vid-thumb Play Part II

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Cardiac Rhythm Management

The Cardiac Implantable Device Has Been Extracted: What Next?

Subha L. Varahan, MD;Victor, Petrius MBchB;
Ulrika Birgersdotter-Green, MD

University of California, San Diego, Department of Cardiac Electrophysiology and Surgery.

The Journal of Innovations in Cardiac Rhythm Management Volume 2 Number 7.

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