LVAD versus CIED Infections: Distinct Entities, Distinct Suppression Strategies

Clin Infect Dis. 2024 Dec 24:ciae647. doi: 10.1093/cid/ciae647. Online ahead of print.

Abstract

A distinction between infections of left ventricular assist devices (LVADs) and cardiac implantable electronic devices (CIEDs) is warranted as they differ markedly in incidence, microbiologic profiles, clinical presentations, and extraction feasibility. These differences necessitate tailored suppressive antibiotic therapy (SAT) strategies. This commentary highlights the need for device-specific SAT approaches.