Risk of skin erosion and local pocket infections in population of
patients with cardiac implantable electronic devices undergoing
transvenous lead extraction
The thinning of the skin over the pocket is an occasional phenomenon in
patients with cardiac implantable electronic devices (CIEDs) most often
associated with the technique of implantation of the device. It is
likely that the thinning of the skin over the generator is a risk factor
for the development of infectious complications in patients with CIED.
Analysis of large database of 3706 patients undergoing transvenous lead
extraction (TLE) showed higher number of points of PADIT score and more
often previous pocket plastic surgery in patients with too shallow
pocket. Most likely, diagnosing only a too shallow CIED pocket is often
an early symptom of infection.