In the era of coronavirus disease 2019 (COVID-19), the management of cardiac implantable electronic devices infections with concomitant viral infection has not been completely defined yet. In this explorable context, we report the first experience of a Cardiac resynchronization therapy with defibrillator (CRT-D) implantation after transvenous lead extraction for endocarditis in a COVID-19 patient. We describe both the measures and procedures implemented to reduce the cross-infection in the operating room and our clinical practice to improving procedure effectiveness on patient care.


Graduated from the Faculty of Medicine and Surgery at the University of Naples “Federico II” and then further specialised in Cardiology. Dr. Stefano De Vivo for 30 years has taken care of his patients with dedication and passion. As a cardiologist he keeps himself updated with all new developments, specialising in Arrhythmology and diseases of the cardiovascular system. Today he is a first level manager at the “Azienda Ospedaliera dei Colli” in Naples where he has obtained the function for the management and extraction of CIED (cardiac implantable electronic devices).