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August 22/29, 2012

Cardiac Device Infective Endocarditis and Patient Survival

Author Affiliations

Letters Section Editor: Jody W. Zylke, MD, Senior Editor.

Author Affiliations: Institute of Geriatric Cardiology, China PLA General Hospital, Beijing, China (wxl301@yahoo.com).

JAMA. 2012;308(8):761. doi:10.1001/jama.2012.9237

To the Editor: The prospective cohort study on cardiac device infective endocarditis (CDIE) found that early device removal was associated with improved survival.1 It is regrettable that no data regarding the means of removal (such as percutaneous or surgical) were available. During the past decades, percutaneous lead removal has been widely used for infected leads as it is less invasive than cardiac surgery. Future studies should include the removal procedure in the investigation.

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