In case of cardiacimplantable electronicdevice (CIED)-related infections, it is mandatory to completely remove the device and administer prolonged antibiotic therapy. The management of patients explanted for an implantable defibrillator (ICD) infection is complex especially in patients needing anti-bradycardia pacing or tachyarrhythmia protection. We tested the efficacy and safety of a conventional ICD externally connected to a transvenous dual-coil lead as bridging therapy before the reimplant, comparing outcomes with a historical cohort of patients (N = 113) treated with temporary transvenous pacing. We enrolled 18 patients explanted for ICD infection and needing prolonged antibiotic therapy in three high-volume Italian centers. They received an external ICD stand-by for a mean of 16.5 (4–30) days before the reimplant.

中文翻译：

---

植入式心律转复除颤器感染患者的管理：外部临时 ICD 的桥接治疗

如果发生与心脏植入式电子设备 (CIED) 相关的感染，则必须完全移除该设备并进行长期抗生素治疗。因植入式除颤器 (ICD) 感染而移植的患者的管理很复杂，尤其是在需要抗心动过缓起搏或快速心律失常保护的患者中。我们在再植入前测试了外部连接到经静脉双线圈导线的传统 ICD 作为桥接治疗的有效性和安全性，并将结果与​​接受临时经静脉起搏治疗的历史队列患者 (N = 113) 进行了比较。我们在三个高容量的意大利中心招募了 18 名因 ICD 感染而需要长期抗生素治疗的患者。他们在重新植入前平均接受了外部 ICD 待机 16.5 (4-30) 天。