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2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction  Fred M. Kusumoto, MD, FHRS, FACC,

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Presentation on theme: "2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction  Fred M. Kusumoto, MD, FHRS, FACC,"— Presentation transcript:

1 2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction  Fred M. Kusumoto, MD, FHRS, FACC, Mark H. Schoenfeld, MD, FHRS, FACC, FAHA, CCDS, Bruce L. Wilkoff, MD, FHRS, CCDS, Charles I. Berul, MD, FHRS, Ulrika M. Birgersdotter-Green, MD, FHRS, Roger Carrillo, MD, MBA, FHRS, Yong-Mei Cha, MD, Jude Clancy, MD, Jean-Claude Deharo, MD, FESC, Kenneth A. Ellenbogen, MD, FHRS, Derek Exner, MD, MPH, FHRS, Ayman A. Hussein, MD, FACC, Charles Kennergren, MD, PhD, FETCS, FHRS, Andrew Krahn, MD, FRCPC, FHRS, Richard Lee, MD, MBA, Charles J. Love, MD, CCDS, FHRS, FACC, FAHA, Ruth A. Madden, MPH, RN, Hector Alfredo Mazzetti, MD, JoEllyn Carol Moore, MD, FACC, Jeffrey Parsonnet, MD, Kristen K. Patton, MD, Marc A. Rozner, PhD, MD, CCDS, Kimberly A. Selzman, MD, MPH, FHRS, FACC, Morio Shoda, MD, PhD, Komandoor Srivathsan, MD, Neil F. Strathmore, MBBS, FHRS, Charles D. Swerdlow, MD, FHRS, Christine Tompkins, MD, Oussama Wazni, MD, MBA  Heart Rhythm  DOI: /j.hrthm Copyright © 2017 Heart Rhythm Society Terms and Conditions

2 Figure 1 Applying Class of Recommendation and Level of Evidence to clinical strategies, interventions, treatments, or diagnostic testing in patient care (Halperin et al. Circulation 2016;133:1426–1428). Heart Rhythm DOI: ( /j.hrthm ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

3 Figure 2 Management of suspected CIED infection. *Refer to text and table for specific recommendations depending on microbiology. Antimicrobial therapy should be at least 4–6 weeks for endocarditis (4 weeks for native valve, 6 weeks for prosthetic valve or staphylococcal valvular endocarditis). If lead vegetation is present in the absence of a valve vegetation, 4 weeks of antibiotics for Staphylococcus aureus and 2 weeks for other pathogens is recommended. †Usually the contralateral side; a subcutaneous ICD may also be considered. **2010 AHA CIED Infection Update distinguishes between pocket infection and erosion (Baddour et al. Circulation 2010;121:458–477). Heart Rhythm DOI: ( /j.hrthm ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

4 Figure 3 Management of suspected pocket infection. *See text for examples. Heart Rhythm DOI: ( /j.hrthm ) Copyright © 2017 Heart Rhythm Society Terms and Conditions

5 Figure 4 Management of bacteremia without evidence of CIED infection. *Important to distinguish between blood stream infection and contamination in bacteremia involving skin flora. Heart Rhythm DOI: ( /j.hrthm ) Copyright © 2017 Heart Rhythm Society Terms and Conditions


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