Successful management of wound dehiscence after implantation of a subcutaneous implantable cardioverter-defibrillator without device removal

Palliation and Nonextraction Approaches

Although definitive therapy for infected cardiac implantable electronic device systems requires removal of all hardware in the infected areas with extraction of intravascular components as well, there are situations where extraction is not available or appropriate. Palliative procedures and chronic suppressive antibiotics may be used in these cases. There are also options that may in some cases result in long-term freedom from infection.