SHM Converge Scientific Abstract ePoster Gallery-Pacemaker Extrusion: A Rare and Challenging Complication in Cardiac Device Therapy

Pdf Summary

This poster is a quick-start guide for creating a virtual wide-screen (16:9) PowerPoint presentation poster. It explains how to verify the correct template size before editing, lists compatible print sizes, and gives basic instructions for zooming, using rulers and guides, editing section headers, and adding content. It also notes that guides can be hidden, columns can be reconfigured, and posters can be previewed before printing. Additional help resources and links are provided.<br /><br />The scientific poster describes a clinical case of a 65-year-old man with atrial fibrillation, cardiomyopathy, complete heart block, prior valve surgery, and a history of Staphylococcus epidermidis endocarditis. He presented with an exposed cardiac resynchronization therapy defibrillator (CRT-D) generator after minor trauma but had no fever, stable vital signs, and negative blood cultures. The poster emphasizes that any exposed cardiac implantable electronic device should be considered infected, even without systemic signs.<br /><br />Management involved multidisciplinary electrophysiology and infectious disease consultation, empiric antibiotics, percutaneous laser extraction of the CRT-D system, and implantation of a leadless pacemaker. Cultures grew Staphylococcus epidermidis and Corynebacterium. He then received six weeks of IV vancomycin and metronidazole followed by lifelong doxycycline suppression.<br /><br />The discussion highlights that generator erosion/extrusion is a serious complication, and current guidelines recommend complete device extraction because conservative treatment has high recurrence and mortality risk. The conclusion is that prompt, guideline-directed, multidisciplinary management of exposed devices can lead to favorable outcomes, and long-term suppressive antibiotics may be needed in high-risk patients.

Asset Subtitle

Khola Khan

Meta Tag

Author List Khola Khan, Megan Brooks

Category Clinical Vignettes

Concept Cardiac Implantable Electronic Device

Concept Device Infection

Concept Complete System Extraction

Concept CIED Erosion

Concept CIED Extrusion

Distinguished Non-Finalist

Presenter Organization Ochsner Health

Presenting Author Khola Khan

Track Adult

Keywords

PowerPoint poster

16:9 widescreen

scientific poster

template size

print sizes

zoom and guides

clinical case

CRT-D exposure

device infection

leadless pacemaker

Cardiac Implantable Electronic Device

Device Infection

Complete System Extraction

CIED Erosion

CIED Extrusion