Extravascular ICD as a Viable Solution After CIED Lead Extraction: A Case Report

Abstract

Post-implantation infections of pacemakers or defibrillators represent a serious complication, impacting patient morbidity and mortality. We present a case involving a 75-year-old male with multiple comorbidities who developed pocket erosion of a previously implanted biventricular defibrillator, complicated by Staphylococcus haemolyticus infection. Following device extraction and targeted antibiotic therapy, an extravascular implantable cardioverter defibrillator (EV-ICD; Aurora EV-ICD) was implanted. The procedure was successfully performed, with a 2-month follow-up showing no signs of infection or device displacement. EV-ICD appears to be a safe and effective alternative for high-risk patients, minimizing complications associated with vascular access and endocardial lead implantation.