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    Tools for a difficult case

    CIED infection

    A Class I indication for complete system removal.

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    Watch our video from HRC 2022


    Explore the issue of CIED Infection in this video recorded at the 2022 HRC conference in the UK. Prof Aldo Rinaldi
    (Guys & St Thomas Hospital, London), Dr Archie Rao (Liverpool Heart & Chest Hospital) and Prof. Bruce Wilkoff (Cleveland Clinic, Ohio) discuss the General State of Play, the main challenges to treatment and If there was one intervention they could make, what would it be?

    EHRA 2021
    EHRA 2022

    Problem and solution through the lens of the infectious disease specialist, cardiologist and a lead extractor  - a guide to managing CIED infection for non-extractors. Management of CIED infections can be a difficult challenge for non-extractors – Watch Dr Archie Rao, infectiologist Dr Stefan Hagel and Dr Ignacio Ferreira-Gonzalez discuss CIED Infection Management – EHRA 2022 symposium.

    EHRA 2021

    Learn about why so few patients receive guideline-driven care and discover how you can manage CIED infections. Understand barriers to guideline implementation among European physicians managing patients with CIED infections – Watch Dr Archie Rao and Professor Nicola Montano discuss CIED infection – EHRA 2021 symposium.

    Tools for a difficult case

    Pascal Defaye, Grenoble, France shows the opportunities of current tools for lead extraction especially in challenging cases.

    Safety net around the procedure

    Roger Carrillo, Miami, US talks about how to prepare optimally for rare complications to improve patient outcome.

    Cooperation with referring

    Volker Bärsch, Siegburg, Germany outlines the importance of creating a referring network for continuous success of the lead extraction program of your center.

    Panel discussion

    The panel discussion led by Charles Kennergren, Gothenburg, Sweden and Antonio Curnis, Brescia, Italy, summarizes the content of the presentations and gives further insights.

    Laser lead extraction animation video

    Safe extractions. Predictable results.

     

    With a clinical success of more than 97% and a survivability of more than 99.72%6, lead extraction is safe and predictable.

     

    Philips provides tools specifically designed to help achieve the clinical goals while allowing the highest level of confidence.

     

    Learn about Philips TightRail mechanical rotational extraction tool

    accdata

    Managing leads.

    Partnering for patient care.

     

    Collaboration with colleagues is key to optimal patient care, along with knowing the Heart Rhythm Society Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction3. Together, you can make the right decision at the right time for every patient.

    Case review: Minimally invasive percutaneous lead extraction with an excimer laser video

    Case Review: Minimally Invasive Percutaneous Lead Extraction with an Excimer Laser by Dr. Samer Hakmi

    Tools for success.

    Benefit for your patient.

    Watch an expert perform a laser lead extraction. As proven in multiple clinical studies including the recent European ELECTRA study, in experienced centers lead extraction is a highly successful and safe procedure.7

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    **Not all products listed are available for sale and distribution in each country. Please contact a local Philips representative for further information.

     

    1. Pokorney, Sean D., et al. Low Rates of Guideline Directed Care Associated with Higher Mortality in Patients with Infections of Pacemakers and Implantable Cardioverter Defibrillators. ACC 2022 Late Breaker Clinical Study Presentation. April 3, 2022.

    2. Blomström-Lundqvist et al. (2019). European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections—endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Europace

    3. Kusumoto et al. (2017). HRS Expert Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction. Heart Rhythm, 2017. 

    4. Andrew Y. Lin MD, Tatiana Saul MD, Omar M. Aldaas MD , Florentino Lupercio MD, Gordon Ho MD, Travis Pollema DO, Victor Pretorius MBchB, Ulrika Birgersdotter-Green MD. Early Versus Delayed Lead Extraction in Patients With Infected Cardiovascular Implantable Electronic Devices. JACC: Clinical Electrophysiology. 2021.

    5. Greenspon AJ, Patel JD, Lau E, et al. (2011). 16-year trends in the infection burden for pacemakers and implantable cardioverter-defibrillators in the United States: 1993 to 2008. JACC 2011

    6. Wazni, O., Epstein, L. M., Carrillo, R. G., Love, C., Adler, S. W., Riggio, D. W., Karim, S. S., Bashir, J., Greenspon, A. J., DiMarco, J. P., Cooper, J. M., Onufer, J. R., Ellenbogen, K. A., Kutalek, S. P., Dentry-Mabry, S., Ervin, C. M., & Wilkoff, B. L. (2010). Lead extraction in the contemporary setting: the LExICon study: an observational retrospective study of consecutive laser lead extractions. JACC, 55(6), 579-586. https://doi.org/10.1016/j.jacc.2009.08.070 

    7. Maria Grazia Bongiorni, Charles Kennergren, Christian Butter, Jean Claude DeHaro, Andrzej Kutarski, Christopher A Rinaldi, Simone L Romano, Aldo P Maggioni, Maryna Andarala, Angelo Auricchio, Karl Heinz-Kuck, Carina Blomstrӧm Lundqvist, ELECTRa Investigators: The European Lead Extraction ConTRolled (ELECTRa) Study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes, European Heart Journal, Volume 38, Issue 40, 21 October 2017, 2995-3005.

    *Clinical success was defined as achievement of all clinical goals associated with the indication for lead removal

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