Nailed It

Conservative Management of Penetrating Injury and Potential Infection of a Cardiovascular Implantable Electronic Device

Steven D. Dolacky, Aimee A. Wehber, Dale Wortham, Madhur A. Roberts, Brooke R. Kaiser, Jeffrey Hirsh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 47-year-old man with a history of ischemic cardiomyopathy and chronic systolic heart failure presented after he inadvertently shot himself in the left upper chest with a pneumatic nail gun, penetrating his implantable cardioverter defibrillator (ICD) generator. The device was noninterrogable, consistent with device failure. A new ICD was attached to the existing right ventricular lead, which showed no evidence of traumatic damage and normal lead parameters on interrogation. Aggressive debridement and antibiotic irrigation of the ICD pocket was performed and an antibacterial envelope was used. Bacterial culture of the ICD pocket grew Bacillus species. The patient completed a course of at least 14 days of oral clindamycin. At follow-up, there were no signs or symptoms of systemic or local wound infection.

Original languageEnglish (US)
Pages (from-to)1412-1414
Number of pages3
JournalPACE - Pacing and Clinical Electrophysiology
Volume39
Issue number12
DOIs
StatePublished - Dec 1 2016

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Cardiovascular Infections
Implantable Defibrillators
Equipment and Supplies
Wounds and Injuries
Equipment Failure
Systolic Heart Failure
Clindamycin
Firearms
Debridement
Wound Infection
Nails
Cardiomyopathies
Bacillus
Signs and Symptoms
Thorax
Anti-Bacterial Agents
Conservative Treatment

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Nailed It : Conservative Management of Penetrating Injury and Potential Infection of a Cardiovascular Implantable Electronic Device. / Dolacky, Steven D.; Wehber, Aimee A.; Wortham, Dale; Roberts, Madhur A.; Kaiser, Brooke R.; Hirsh, Jeffrey.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 39, No. 12, 01.12.2016, p. 1412-1414.

Research output: Contribution to journalArticle

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