Salvaging the Cardiac Implantable Electronic Device: Transpectoral versus Lateral Pectoral Approach
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Cardiac implantable electronic devices (CIEDs) are a vital therapeutic measure to keep arrhythmic patients from heart failure or death. Complications of insertions are rare but may present as implant body erosions, wire erosions, infection, and chronic subclinical infection. Whilst most centres advocate device extraction and new device implantation, salvaging the implant can bring numerous benefits. We describe our experience with patients who experienced complications, for whom their devices were salvaged and reimplanted subpectorally, achieving high success rates. We also compare the differences of the transpectoral and the lateral pectoral approaches, and discuss the challenges and pre-emptive measures taken.
