Should they stay, or should they go: Do we need to remove the old cardiac implantable electronic device if a new system is required on the contralateral side?

ABSTRACT:

Background

Ipsilateral approach in patients requiring cardiac implantable electronic device (CIED) revision or upgrade may not be feasible, primarily due to vascular occlusion. If a new CIED is implanted on the contralateral side, a common practice is to explant the old CIED to avoid device interaction.

Objective

The purpose of this study was to assess a conservative approach of abandoning the old CIED after implanting a new contralateral device.

Methods

We used an artificial intelligence algorithm to analyze postimplant chest radiographs to identify those with multiple CIEDs. Outcomes of interest included device interaction, abandoned CIED elective replacement indicator (ERI) behavior, subsequent programming changes, and explant of abandoned CIED. Theoretical risk of

SUBMITTER: Weng W 

PROVIDER: S-EPMC9043401 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature