{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T14:03:25Z","timestamp":1776866605183,"version":"3.51.2"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Herzschr Elektrophys"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Komplikationen nach Schrittmacherimplantation sind vielf\u00e4ltig. Neben Dislokation der Elektroden, Twiddler-Syndrom, Fehlfunktion und H\u00e4matombildung kann es zu Schrittmacherinfektionen kommen. Diese k\u00f6nnen in akute, subakute und sp\u00e4te Infektionen unterteilt werden. Sowohl der Zeitpunkt des Auftretens als auch der Infektionsweg spielen eine entscheidende Rolle. Die Folgen einer Schrittmacherinfektion sind verheerend. Zur leitliniengerechten Behandlung geh\u00f6rt die Entfernung aller implantierten Anteile des Schrittmachers (transven\u00f6se und subkutane Anteile). Wird keine vollst\u00e4ndige Entfernung vorgenommen, kommt es h\u00e4ufig erneut zur Infektion. Die offene Thoraxchirurgie zur Entfernung infizierter Schrittmacherkomponenten ist mittlerweile durch perkutane Extraktionsverfahren ersetzt worden. Die Sondenextraktion erfordert spezielles Ger\u00e4t und Expertise, welche nicht immer vorhanden sind. Zudem ist sie nicht bei jedem Patienten durchf\u00fchrbar. Jedes Extraktionsverfahren ist mit einem geringen Risiko potenziell t\u00f6dlich verlaufender Komplikationen verbunden (z.\u202fB. Einriss kardialer oder vaskul\u00e4rer Strukturen, H\u00e4matothorax oder Herztamponade). Aus genannten Gr\u00fcnden sollte die Durchf\u00fchrung solcher Verfahren spezialisierten Zentren mit entsprechender Ausr\u00fcstung und Erfahrung vorbehalten sein. In diesem Fallbericht werden die Schritte zur erfolgreichen Revision eines Herzschrittmachers bei einem fragilen Patienten ohne M\u00f6glichkeit der Extraktion erl\u00e4utert, welcher sich mehr als 5\u00a0Jahre nach Generatorwechsel mit einer Fistel im Bereich der Generatortasche in unserer Ambulanz vorstellte.<\/jats:p>","DOI":"10.1007\/s00399-023-00940-9","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T14:02:11Z","timestamp":1682690531000},"page":"161-164","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Herzschrittmacherinfektion bei fragilen Patienten","Pacemaker infection in fragile patients"],"prefix":"10.1007","volume":"34","author":[{"given":"Ernesto","family":"Casorelli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Pescatori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Ruocco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Bonnemeier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ojan","family":"Assadian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Bui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"issue":"5","key":"940_CR1","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1111\/pace.13319","volume":"41","author":"JE Peacock Jr.","year":"2018","unstructured":"Peacock\u00a0JE Jr. et\u00a0al (2018) Attempted salvage of infected cardiovascular implantable electronic devices: Are there clinical factors that predict success? Pacing Clin Electrophysiol 41(5):524\u2013531","journal-title":"Pacing Clin Electrophysiol"},{"issue":"1","key":"940_CR2","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3390\/jcdd9010018","volume":"9","author":"J Weichsel","year":"2022","unstructured":"Weichsel\u00a0J et\u00a0al (2022) Eradication of ventricular assist device driveline infection in paediatric patients with taurolidine. J\u00a0Cardiovasc Dev Dis 9(1):18","journal-title":"J Cardiovasc Dev Dis"},{"key":"940_CR3","unstructured":"Henke J et\u00a0al (2022) Taurolidine containing antimicrobial wash to prevent cardiac implantable electronic device infection. Eur J Arrhythm Electrophysiol 8(Suppl.1). Article abstr129"},{"key":"940_CR4","first-page":"515","volume":"22","author":"C Blomstrom-Lundqvist","year":"2020","unstructured":"Blomstrom-Lundqvist C et al (2020) European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID), and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart\u00a0J 22:515\u2013549","journal-title":"Eur Heart\u00a0J"},{"key":"940_CR5","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.1093\/europace\/euz137","volume":"21","author":"V Traykov","year":"2019","unstructured":"Traykov V et\u00a0al (2019) Clinical practice and implementation of guidelines for the prevention, diagnosis and management of cardiac implantable electronic device infections: results of a\u00a0worldwide survey under the auspices of the European Heart Rhythm Association. Europace 21:1270","journal-title":"Europace"},{"issue":"9","key":"940_CR6","doi-asserted-by":"publisher","first-page":"1067","DOI":"10.1093\/europace\/eun191","volume":"10","author":"M Pichlmaier","year":"2008","unstructured":"Pichlmaier\u00a0M et\u00a0al (2008) High prevalence of asymptomatic bacterial colonization of rhythm management devices. Europace 10(9):1067\u20131072","journal-title":"Europace"}],"container-title":["Herzschrittmachertherapie + Elektrophysiologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00399-023-00940-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00399-023-00940-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00399-023-00940-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T16:05:34Z","timestamp":1685462734000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00399-023-00940-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,28]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["940"],"URL":"https:\/\/doi.org\/10.1007\/s00399-023-00940-9","relation":{},"ISSN":["0938-7412","1435-1544"],"issn-type":[{"value":"0938-7412","type":"print"},{"value":"1435-1544","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,28]]},"assertion":[{"value":"20 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 March 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"E.\u00a0Casorelli, I.\u00a0Pescatori, G.\u00a0Ruocco, H.\u00a0Bonnemeier, O.\u00a0Assadian und F.\u00a0Bui geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Auf eine ethische Pr\u00fcfung und Genehmigung wurde in diesem Fall verzichtet. Erl\u00e4uterung: Gem\u00e4\u00df der aktuellen italienischen Fassung des GPDP, Artikel 110 Absatz 1, und EU GDPR Recital 26 gelten die Grunds\u00e4tze des Datenschutzes nicht. <i>Erkl\u00e4rung zur Einwilligung nach Aufkl\u00e4rung:<\/i> der Patient hat schriftlich sein Einverst\u00e4ndnis zur Ver\u00f6ffentlichung dieses Artikels gegeben.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}