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Author Notes:

Correspondence: Larry M. Baddour, M.D., FIDSA, FAHA, Mayo Clinic, 200 First Street SW, Rochester, MN 55905. Email: baddour.larry@mayo.edu

Author contributions: Study concept/design: Baddour, Weiss, Mark, El‐Chami, McClernon, Knight. Analysis and interpretation of data: Baddour, Weiss, Mark, El‐Chami, Biffi, Probst, Lambiase, Miller, McClernon, Hansen, Knight. Literature review: Baddour.

Drafting of the manuscript: Baddour. Critical revision of the manuscript for important intellectual content: Baddour, Weiss, Mark, El‐Chami, Biffi, Probst, Lambiase, Miller, McClernon, Hansen, Knight.

The authors are grateful to Patricia J. Erwin, M.L.S. (Mayo), for her expertise in the literature review, Sharon Gohman (Boston Scientific) for concept development, and Bridget Loftus, RN, and Jeremiah Wasserlauf, MD, MS (Northwestern Memorial Hospital) for providing infection images.

Disclosures: The expert panel mapping program was developed and conducted by Timothy McClernon, PhD (managing partner at People Architects, Inc.) and was sponsored by Boston Scientific, Inc. Dr Baddour reports royalty payments from UpToDate, Inc., and consulting payments from Boston Scientific.

Dr Weiss receives honoraria for speaking and serving as a consultant, and institution receives fellowship support from Boston Scientific, Medtronic, Biotronik, and Biosense Webster. Drs Mark, Biffi, and Probst report no disclosures. Dr El‐Chami receives Honoria for consulting for Medtronic and Boston Scientific.

Dr Lambiase reports speaker, advisory fees and research grants from Boston Scientific and is supported by UCL Biomedicine and NIHR. Dr Miller received consulting fees and grant support from Boston Scientific. Dr Hansen receives salary from Boston Scientific. Dr Knight receives honoraria for consulting and speaking for Medtronic Inc. and Boston Scientific.

Subjects:

Research Funding:

None declared

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Technology
  • Cardiac & Cardiovascular Systems
  • Engineering, Biomedical
  • Cardiovascular System & Cardiology
  • Engineering
  • antibiotics
  • diagnosis
  • extraction
  • infection
  • mapping
  • subcutaneous implantable cardioverter-defibrillator
  • Electronic device infections
  • Outcomes
  • Predictors
  • Statement
  • Efficacy
  • Safety
  • Trends
  • Trial

Diagnosis and management of subcutaneous implantable cardioverter-defibrillator infections based on process mapping

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Journal Title:

Pacing and Clinical Electrophysiology

Volume:

Volume 43, Number 9

Publisher:

, Pages 958-965

Type of Work:

Article | Final Publisher PDF

Abstract:

Background: Infection is a well-recognized complication of cardiovascular implantable electronic device (CIED) implantation, including the more recently available subcutaneous implantable cardioverter-defibrillator (S-ICD). Although the AHA/ACC/HRS guidelines include recommendations for S-ICD use, currently there are no clinical trial data that address the diagnosis and management of S-ICD infections. Therefore, an expert panel was convened to develop consensus on these topics. Methods: A process mapping methodology was used to achieve a primary goal – the development of consensus on the diagnosis and management of S-ICD infections. Two face-to-face meetings of panel experts were conducted to recommend useful information to clinicians in individual patient management of S-ICD infections. Results: Panel consensus of a stepwise approach in the diagnosis and management was developed to provide guidance in individual patient management. Conclusion: Achieving expert panel consensus by process mapping methodology in S-ICD infection diagnosis and management was attainable, and the results should be helpful in individual patient management.

Copyright information:

© 2020 The Authors. Pacing and Clinical Electrophysiology published by Wiley Periodicals LLC.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/).
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