Editorial to Infection and migration incidence of Cardiac Implantable Electrical Devices in Japan: Web‐based survey results

摘要

Since 1958, when the first cardiac implantable electrical device (CIED) has been tried in clinical patient by Rune Elmqvist, more than half‐century has past. Thanks to recent development of lithium‐ion battery, miniaturization of generator has been realized and various devices with complicated function have been put into practical use along with the development of computer and programming technology. Although innovative concepts of devices, such as leadless pacemaker and/or subcutaneous devices, have appeared, fundamental concept of CIED, that is the system with subcutaneous device and trans‐vascular leads positioned into endocardium, has been unchanged. Because the technique of CIED implantation involves various invasive procedures, careful attention must be paid to various perioperative complications. Although CIED implantation is a kind of surgical procedure, most of CIED implantation use to be performed by not only surgeons but also specially trained physicians because surgical step itself is limited and lead positioning technique itself is more strongly related with catheterization technique which is more familiar to electrophysiologists or ablators in the electrophysiologic study than regular surgeons. In the other words, the operators for CIED are highly heterogeneous and basic understanding may vary among the operators and/or institutes. Therefore, general survey gathering information about CIED‐related complications is quite important in each country, of course including Japan. ,