1. Diagnosis and management of subcutaneous implantable cardioverter-defibrillator infections based on process mapping.
- Author
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Baddour LM, Weiss R, Mark GE, El-Chami MF, Biffi M, Probst V, Lambiase PD, Miller MA, McClernon T, Hansen LK, and Knight BP
- Subjects
- Equipment Contamination, Humans, Prosthesis-Related Infections epidemiology, Defibrillators, Implantable microbiology, Prosthesis-Related Infections diagnosis
- 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., (© 2020 Wiley Periodicals LLC.)
- Published
- 2020
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