Conclusion
In this series of patients with CIED-related infections, CHG and saline pocket irrigation without capsulectomy was an excellent alternative to capsulectomy, with no cases of reinfection, even in patients with early device reimplantation and a significantly lower rate of hematoma formation. Furthermore, the use of CGH was not associated with any adverse reactions and was associated with a highly significant reduction in procedural times. Our results suggest that the use of CHG could be a safer and time-saving alternative to total capsulectomy in patients with CIED-related infection. In conclusion, our findings indicate that the use of CHG could be an alternative to total capsulectomy in patients with CIED-related infection, reducing procedural time and the risk of hematoma formation. Further randomized controlled trials are needed to determine the impact of CHG irrigation and capsulectomy in treating CIED infections.
Other members of the Study Group: Cesar Daniel Niño, MD;a Estefania Rivera, BS b; Joan Rodriguez-Taveras, MD;e Juan Manuel Martinez, MD;a Juanita Velásquez, MD; aIsabella Alviz, MD;c Mauricio Duque, MD.a