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10.1055/s-0036-1580733

http://scihub22266oqcxt.onion/10.1055/s-0036-1580733
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suck abstract from ncbi


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pmid27152097
      Semin+Plast+Surg 2016 ; 30 (2 ): 60-5
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  • Treatment of Infected Cardiac Implantable Electronic Devices #MMPMID27152097
  • Fakhro A ; Jalalabadi F ; Brown RH ; Izaddoost SA
  • Semin Plast Surg 2016[May]; 30 (2 ): 60-5 PMID27152097 show ga
  • With their rising benefits, cardiac implantable electronic devices (CIEDs) such as pacemakers and left ventricular assist devices (LVADs) have witnessed a sharp rise in use over the past 50 years. As indications for use broaden, so too does their widespread employment with its attendant rise of CIED infections. Such large numbers of infections have inspired various algorithms mandating treatment. Early diagnosis of inciting organisms is crucial to tailoring appropriate antibiotic and or antifungal treatment. In addition, surgical debridement and explant of the device have been a longstanding modality of care. More novel therapies focus on salvage of the device by way of serial washouts and instilling drug-eluting antibiotic impregnated beads into the wound. The wound is then serially debrided until clean and closed. This technique is better suited to patients whose device cannot be removed, patients who are poor candidates for cardiac surgery, or patients who have failed conventional prior treatments.
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