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Early Lead Extracti...
Early Lead Extraction for Infected Implanted Cardiac Electronic Devices JACC Review Topic of the Week
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- Lakkireddy, Dhanunjaya R. (författare)
- HCA Midwest, Kansas City Heart Rhythm Inst, Overland Pk, KS USA.;HCA Midwest, Kansas City Heart Rhythm Inst, 5100 W 110th St,Suite 200, Overland Pk, KS 66211 USA.
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- Segar, Douglas S. (författare)
- Ascens Heart Ctr Indiana, Indianapolis, IN USA.
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- Sood, Ami (författare)
- Philips Image Guided Therapy Corp, Colorado Springs, CO USA.
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- Wu, MaryAnn (författare)
- EVERSANA, Burlington, ON, Canada.
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- Rao, Archana (författare)
- Liverpool Heart & Chest Hosp, Dept Cardiol, Liverpool, England.
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- Sohail, Rizwan (författare)
- Baylor Coll Med, Dept Med, Sect Infect Dis, Houston, TX USA.
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- Pokorney, Sean D. (författare)
- Duke Univ, Med Ctr, Durham, NC USA.;Duke Univ, Duke Clin Res Inst, Durham, NC USA.
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- Blomström-Lundqvist, Carina (författare)
- Uppsala universitet,Kardiologi-arrytmi,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Cardiol, Örebro, Sweden.
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- Piccini, Jonathan P. (författare)
- Duke Univ, Med Ctr, Durham, NC USA.;Duke Univ, Duke Clin Res Inst, Durham, NC USA.
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- Granger, Christopher B. (författare)
- Duke Univ, Med Ctr, Durham, NC USA.;Duke Univ, Duke Clin Res Inst, Durham, NC USA.
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HCA Midwest, Kansas City Heart Rhythm Inst, Overland Pk, KS USA;HCA Midwest, Kansas City Heart Rhythm Inst, 5100 W 110th St,Suite 200, Overland Pk, KS 66211 USA. Ascens Heart Ctr Indiana, Indianapolis, IN USA. (creator_code:org_t)
- Elsevier, 2023
- 2023
- Engelska.
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Ingår i: Journal of the American College of Cardiology. - : Elsevier. - 0735-1097 .- 1558-3597. ; 81:13, s. 1283-1295
- Relaterad länk:
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https://uu.diva-port... (primary) (Raw object)
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Abstract
Ämnesord
Stäng
- Infection remains a serious complication associated with the cardiac implantable electronic devices (CIEDs), leading to substantial clinical and economic burden globally. This review assesses the burden of cardiac implantable electronic device infection (CIED-I), evidence for treatment recommendations, barriers to early diagnosis and appropriate therapy, and potential solutions. Multiple clinical practice guidelines recommended complete system and lead removal for CIED-I when appropriate. CIED extraction for infection has been consistently reported with high success, low complication, and very low mortality rates. Complete and early extraction was associated with significantly better clinical and economic outcome compared with no or late extraction. However, significant gaps in knowledge and poor recommendation compliance have been reported. Barriers to optimal management may include diagnostic delay, knowledge gaps, and limited access to expertise. A multipronged approach, including education of all stakeholders, a CIED-I alert system, and improving access to experts, could help bring paradigm shift in the treatment of this serious condition. (J Am Coll Cardiol 2023;81:1283-1295)
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- CIED
- barriers
- extraction
- infection
- structured literature review
- treatment guidelines
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- ref (ämneskategori)
- for (ämneskategori)
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