Evidence map›Paper›PMID 38137641›Full record

ArticleJournal of clinical medicine2023

Leadless Pacemaker Infection Risk in Patients with Cardiac Implantable Electronic Device Infections: A Case Series and Literature Review.

Lorenzo Bertolino, Letizia Lucia Florio, Fabian Patauner, Raffaella Gallo, Anna Maria Peluso, Antonio Scafuri, Stefano De Vivo, Carmelina Corrado, Rosa Zampino, Giuseppe Ruocco and 2 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Outcomes of concurrent and delayed leadless pacemaker implantation following extraction of infected cardiovascular implantable electronic device.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Review
  3. Long-term management of leadless pacemakers.European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lorenzo BertolinoDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Via de Crecchio, 7, 80138 Napoli, Italy.ORCID 0000-0003-3205-4292
Letizia Lucia FlorioDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Piazza Luigi Miraglia, 2, 80138 Napoli, Italy.ORCID 0000-0002-6253-2833
Fabian PataunerDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Via de Crecchio, 7, 80138 Napoli, Italy.
Raffaella GalloDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Via de Crecchio, 7, 80138 Napoli, Italy.
Anna Maria PelusoDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Piazza Luigi Miraglia, 2, 80138 Napoli, Italy.
Antonio ScafuriDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Via de Crecchio, 7, 80138 Napoli, Italy.
Stefano De VivoUnit of Cardiac Electrophysiology, AORN Ospedali dei Colli-Monaldi Hospital, Piazzale Ettore Ruggieri, 80131 Napoli, Italy.
Carmelina CorradoUnit of Cardiac Electrophysiology, AORN Ospedali dei Colli-Monaldi Hospital, Piazzale Ettore Ruggieri, 80131 Napoli, Italy.
Rosa ZampinoDepartment of Advanced Medical & Surgical Sciences, University of Campania 'L. Vanvitelli', Piazza Luigi Miraglia, 2, 80138 Napoli, Italy.
Giuseppe RuoccoUnit of Microbiology and Virology, AORN Ospedali dei Colli, Piazzale Ettore Ruggieri, 80131 Naples, Italy.
Antonio D'OnofrioUnit of Cardiac Electrophysiology, AORN Ospedali dei Colli-Monaldi Hospital, Piazzale Ettore Ruggieri, 80131 Napoli, Italy.ORCID 0000-0002-8739-5572
Emanuele Durante-MangoniDepartment of Precision Medicine, University of Campania 'L. Vanvitelli', Via de Crecchio, 7, 80138 Napoli, Italy.ORCID 0000-0002-5381-3537

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Leadless pacemakers (LPs) have been proposed as a reimplantation strategy in pacing-dependent patients undergoing cardiac implantable electronic device (CIED) extraction for infection. In this study, we analysed the risk of LP infection when this device is implanted before lead extraction. (2) Methods: This was a retrospective study including patients who underwent LP implantation between 2017 and 2022. Patients were divided in two groups according to whether LP was implanted following CIED extraction for infection (Group 1) or other indications (Group 2). The primary aim was to describe the risk of LP infection. (3) Results: We included in this study 49 patients with a median age of 81 [20-94] years, mostly males (36, 73%). In Group 1 patients, 17 cases (85%) showed systemic CIED infections, and 11 (55%) had positive lead cultures. Most Group 1 cases (n = 14, 70%) underwent one stage of LP implantation and CIED extraction. Mortality rate during follow-up was 20% (nine patients). Patients were followed up for a median of 927 [41-1925], days and no cases of definite or suspected LP infections were identified. (4) Conclusions: The risk of LP infection was extremely low. LP appears as a potential option for reimplantation in this setting and should be considered in pacing-dependent patients at a high risk of CIED infection recurrence.

Indexed as

CIED infectioninfection riskleadless pacemakerreimplantation strategy

Identifiers

PMID38137641
PMCPMC10743511

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.