ICD Infection Avoidance: Science, Art, Discipline

  • Richard B. Shepard
  • Andrew E. Epstein
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 188)


IN THE PAST complications of various kinds have been reported in 53% of ICD patients followed 24 ± 20 months.1 These on the whole have been non-severe (e.g., postoperative atalectasis or inappropriate shocks1) compared to the problems for which the ICD systems were implanted. ICD system infection, however, represents a very serious complication. It occurs in up to 7–8% of patients2 and nearly always requires ICD removal. Multiple additional operations may be required. The cost of prolonged hospitalization, to monitor these high risk patients while they remain unprotected (owing to ICD explantation) during treatment aimed at eradication of their infection, is obviously substantial.4


Pulse Generator Implantable Cardioverter Defibrillator Montreal Heart Institute Transvenous Pacemaker Pacemaker Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Richard B. Shepard
  • Andrew E. Epstein

There are no affiliations available

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