Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware
Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 62 - 65 Metin Dili: İngilizce DOI: 10.14744/epilepsi.2020.48344 İndeks Tarihi: 05-06-2021
Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware
Öz: The management of postoperative pocket infections after vagus nerve stimulator implantation is challenging. Most patients present within four weeks after the implantation of the device and Staphylococcus aureus is the most common infecting agent. Standard medical practice in-volves the complete hardware removal and antibiotics to achieve long-term cure, with the subsequent reimplantation of the device. Attempts to treat these infections without the removal of the hardware led to high infection recurrence rates because of the formation of staphylococcal biofilms on the device. We present a case of vagus nerve stimulator infection treated successfully with a single surgical debridement of the infected wound and six weeks of antibiotic treatment, but without removing the hardware.
Anahtar Kelime: Vagus Sinir Stimülatörü Cep Enfeksiyonunun Cihaz Çıkarılmadan Tedavisi
Öz: Vagus sinir stimülatörü implantasyonundan sonra ortaya çıkan postoperatif cep enfeksiyonlarının yönetimi zordur. Hastaların çoğu, cihazın implantasyonundan sonraki 4 hafta içinde başvurur ve Staphylococcus aureus en yaygın enfeksiyon ajanıdır. Standart tıbbi uygulamada uzun vadeli iyileşme sağlanması için önce cihaz tamamen çıkarılır ve antibiyotik kullanılır, daha sonra cihazın yeniden implante edilir. Cihazın çı-karılmadan enfeksiyonların tedavi edilmesine yönelik girişimler, cihazın üzerindeki stafilokok biyofilm oluşumuna bağlı olarak yüksek oranda enfeksiyon nüksü getirir. Bu çalışmada, enfekte yaranın tek cerrahi debridman ve altı haftalık antibiyotik tedavisiyle donanım çıkarılmadan başarıyla tedavi edildiği bir vagus sinir stimülatörü enfeksiyonu vakası sunulmaktadır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Boon P, Vonck K, Vandekerckhove T, D’have M, Nieuwenhuis L, Michielsen G, et al. Vagus nerve stimulation for medically refractory epilepsy; efficacy and cost-benefit analysis. Acta Neurochir (Wien) 1999;141(5):447–52.
- 2. Landy HJ, Ramsay RE, Slater J, Casiano RR, Morgan R. Vagus nerve stimulation for complex partial seizures: surgical technique, safety, and efficacy. J Neurosurg 1993;78(1):26–31.
- 3. Penry JK, Dean JC. Prevention of intractable partial seizures by intermittent vagal stimulation in humans: preliminary results. Epilepsia 1990;31 Suppl 2:S40–3.
- 4. Uthman BM, Wilder BJ, Penry JK, Dean C, Ramsay RE, Reid SA, Hammond EJ, Tarver WB, Wernicke JF. Treatment of epilepsy by stimulation of the vagus nerve. Neurology 1993;43(7):1338–45.
- 5. Ben-Menachem E. Vagus-nerve stimulation for the treatment of epilepsy. Lancet Neurol 2002;1(8):477–82.
- 6. Couch JD, Gilman AM, Doyle WK. Long-term Expectations of Vagus Nerve Stimulation: A Look at Battery Replacement and Revision Surgery. Neurosurgery 2016;78(1):42–6.
- 7. Kahlow H, Olivecrona M. Complications of vagal nerve stimulation for drug-resistant epilepsy: a single center longitudinal study of 143 patients. Seizure 2013;22(10):827–33.
- 8. Révész D, Rydenhag B, Ben-Menachem E. Complications and safety of vagus nerve stimulation: 25 years of experience at a single center. J Neurosurg Pediatr 2016;18(1):97–104.
- 9. Smyth MD, Tubbs RS, Bebin EM, Grabb PA, Blount JP. Complications of chronic vagus nerve stimulation for epilepsy in children. J Neurosurg 2003;99(3):500–3.
- 10. Yang J, Phi JH. The Present and Future of Vagus Nerve Stimulation. J Korean Neurosurg Soc 2019;62(3):344–52.
- 11. Elliott RE, Morsi A, Kalhorn SP, Marcus J, Sellin J, Kang M, et al. Vagus nerve stimulation in 436 consecutive patients with treatment-resistant epilepsy: long-term outcomes and predictors of response. Epilepsy Behav 2011;20(1):57–63.
- 12. Aalbers MW, Rijkers K, Klinkenberg S, Majoie M, Cornips EM. Vagus nerve stimulation lead removal or replacement: surgical technique, institutional experience, and literature overview. Acta Neurochir (Wien) 2015;157(11):1917–24.
- 13. Giordano F, Zicca A, Barba C, Guerrini R, Genitori L. Vagus nerve stimulation: Surgical technique of implantation and revision and related morbidity. Epilepsia 2017;58(Suppl 1):85–90.
- 14. Air EL, Ghomri YM, Tyagi R, Grande AW, Crone K, Mangano FT. Management of vagal nerve stimulator infections: do they need to be removed? J Neurosurg Pediatr 2009;3(1):73–8.
- 15. Patel NC, Edwards MS. Vagal nerve stimulator pocket infections. Pediatr Infect Dis J 2004;23(7):681–3.
- 16. Wozniak SE, Thompson EM, Selden NR. Vagal nerve stimulator infection: a lead-salvage protocol. J Neurosurg Pediatr 2011;7(6):671–5.
- 17. Ortler M, Luef G, Kofler A, Bauer G, Twerdy K. Deep wound infection after vagus nerve stimulator implantation: treatment without removal of the device. Epilepsia 2001;42(1):133–5.
- 18. Jacqueline C, Caillon J. Impact of bacterial biofilm on the treatment of prosthetic joint infections. J Antimicrob Chemother 2014;69(Suppl 1):i37–40.
- 19. Jørgensen NP, Skovdal SM, Meyer RL, Dagnæs-Hansen F, Fuursted K, Petersen E. Rifampicin-containing combinations are superior to combinations of vancomycin, linezolid and daptomycin against Staphylococcus aureus biofilm infection in vivo and in vitro. Pathog Dis 2016;74(4):ftw019.
- 20. Zimmerli W, Sendi P. Role of Rifampin against Staphylococcal Biofilm Infections In Vitro, in Animal Models, and in Orthopedic-Device-Related Infections. Antimicrob Agents Chemother 2019;63(2):e01746–18.
- 21. Seçen AE, Aslan A, Bulduk EB, Yıldırım İ, Serdaroğlu A, Kurt G. Lead fractures after vagal nerve stimulator implantation. Epilepsi 2019;25(3):136–40.
- 22. Nalbantoğlu M, Özkara Ç, Yeni N, Demirbilek V, Yalçınkaya C, Delil Ş, et al. Efficacy of vagus nerve stimulation in patients with drug resistant epilepsy. Epilepsi 2014;20(1):23–8.
- 23. Kuroda N, Fujimoto A, Okanishi T, Sato K, Itamura S, Baba S, et al. Low Body Mass Index and Low Intelligence Quotient Are Infection Risk Factors in Vagus Nerve Stimulation. World Neurosurg 2019;130:e839–45.
- 24. Tarakji KG, Wilkoff BL. Management of cardiac implantable electronic device infections: the challenges of understanding the scope of the problem and its associated mortality. Expert Rev Cardiovasc Ther 2013;11(5):607–16.
- 25. Cabell CH, Heidenreich PA, Chu VH, Moore CM, Stryjewski ME, Corey GR, et al. Increasing rates of cardiac device infections among Medicare beneficiaries: 1990-1999. Am Heart J 2004;147(4):582–6.
- 26. Chua JD, Wilkoff BL, Lee I, Juratli N, Longworth DL, Gordon SM. Diagnosis and management of infections involving implantable electrophysiologic cardiac devices. Ann Intern Med 2000;133(8):604–8.
- 27. Karchmer AW, Longworth DL. Infections of intracardiac devices. Cardiol Clin 2003;21(2):253–71.
- 28. Ra’Ad T, Elena D, Kasra M, Monali P, Victor M. In-Hospital mortality among patients receiving an implantable cardioverter-defibrillator in the United States: 2000 to 2012. J Am Coll Cardiol 2016;67(13):862.
- 29. Baddour LM, Cha YM, Wilson WR. Clinical practice. Infections of cardiovascular implantable electronic devices. N Engl J Med 2012;367(9):842–9.
- 30. Bloom HL, Constantin L, Dan D, De Lurgio DB, El-Chami M, Ganz LI, et al; COoperative Multicenter study Monitoring a CIED ANtimicrobial Device Investigators. Implantation success and infection in cardiovascular implantable electronic device procedures utilizing an antibacterial envelope. Pacing Clin Electrophysiol 2011;34(2):133–42.
- 31. Schwartzman D, Pasculle AW, Ceceris KD, Smith JD, Weiss LE, Campbell PG. An off-the-shelf plasma-based material to prevent pacemaker pocket infection. Biomaterials 2015;60:1–8.
- 32. Kang FG, Liu PJ, Liang LY, Lin YQ, Xie SL, He Y, et al. Effect of pocket irrigation with antimicrobial on prevention of pacemaker pocket infection: a meta-analysis. BMC Cardiovasc Disord 2017;17(1):256.
- 33. Levi AD, Dickman CA, Sonntag VK. Management of postoperative infections after spinal instrumentation. J Neurosurg 1997;86(6):975–80.
| APA | Bláha M, Tichý M (2021). Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. , 62 - 65. 10.14744/epilepsi.2020.48344 |
| Chicago | Bláha Martin,Tichý Michal Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. (2021): 62 - 65. 10.14744/epilepsi.2020.48344 |
| MLA | Bláha Martin,Tichý Michal Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. , 2021, ss.62 - 65. 10.14744/epilepsi.2020.48344 |
| AMA | Bláha M,Tichý M Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. . 2021; 62 - 65. 10.14744/epilepsi.2020.48344 |
| Vancouver | Bláha M,Tichý M Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. . 2021; 62 - 65. 10.14744/epilepsi.2020.48344 |
| IEEE | Bláha M,Tichý M "Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware." , ss.62 - 65, 2021. 10.14744/epilepsi.2020.48344 |
| ISNAD | Bláha, Martin - Tichý, Michal. "Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware". (2021), 62-65. https://doi.org/10.14744/epilepsi.2020.48344 |
| APA | Bláha M, Tichý M (2021). Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. Epilepsi, 27(1), 62 - 65. 10.14744/epilepsi.2020.48344 |
| Chicago | Bláha Martin,Tichý Michal Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. Epilepsi 27, no.1 (2021): 62 - 65. 10.14744/epilepsi.2020.48344 |
| MLA | Bláha Martin,Tichý Michal Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. Epilepsi, vol.27, no.1, 2021, ss.62 - 65. 10.14744/epilepsi.2020.48344 |
| AMA | Bláha M,Tichý M Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. Epilepsi. 2021; 27(1): 62 - 65. 10.14744/epilepsi.2020.48344 |
| Vancouver | Bláha M,Tichý M Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware. Epilepsi. 2021; 27(1): 62 - 65. 10.14744/epilepsi.2020.48344 |
| IEEE | Bláha M,Tichý M "Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware." Epilepsi, 27, ss.62 - 65, 2021. 10.14744/epilepsi.2020.48344 |
| ISNAD | Bláha, Martin - Tichý, Michal. "Treatment of Vagus Nerve Stimulator Pocket Infectionwithout Removal of the Hardware". Epilepsi 27/1 (2021), 62-65. https://doi.org/10.14744/epilepsi.2020.48344 |
