Chlorhexidine or Povidone‐Iodine for CIED Procedures? Lessons From CHLOVIS and WRAP‐IT

Résumé fourni par la source

Cardiac implantable electronic device (CIED) infection remains one of the most consequential complications of electrophysiology practice.Even in contemporary series, a device infection may lead to prolonged hospitalization, complete system extraction, antimicrobial therapy, reimplantation, and excess mortality [ 1-3 ].Because most causative microorganisms originate from the patient's endogenous skin flora, preincisional antisepsis represents a simple and potentially modifiable component of prevention [ 1-3 ].The recently published CHLOVIS randomized trial now provides the first large CIED-specific randomized comparison of 2% alcohol-based chlorhexidine and alcohol-based povidone-iodine, and its findings can be interpreted alongside the procedural analysis from WRAP-IT [ 4-6 ].

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