Image Guided Therapy Devices

    Cardiac lead extraction. Managing leads. Together.

     

    Patients rely on you to provide guidance about device management, including when lead extraction may be indicated. When physicians and extractors work together to provide information and options, you can be confident that the patients you refer for extraction can expect a safe, successful procedure, supported by Philips - your partner in providing advanced devices* and training.

    Knowledge gaps in managing patients with CIED infections:

    For specialities outside the ‘lead extraction’ world, this symposia highlights the gaps in knowledge, lack of confidence and barriers to the implementation of current guidelines. It is a unique and valuable insight in to the challenges faced by non-extracting physicians.

    product image
    Tools for a difficult case

    Barriers to guideline implementation among European physicians managing patients with CIED infections – Watch Dr Archie Rao and Professor Nicola Montano discuss CIED infection.

    Philips Laser System

     

    A slimmer, more maneuverable and user-friendly design that is ready at the turn of a key.

    Tools for a difficult case
    Tools for a difficult case

    CIED infection

     

    A Class I indication for complete system removal.

    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.
    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 Extraction1. Together, you can make the right decision at the right time for every patient.

    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 Extraction1. Together, you can make the right decision at the right time for every patient.

        Satellite
        Symposium

         The state-of-the-art
         lead extraction program

     

          A. Curnis, Brescia, Italy
          C. Kennergren, Göteborg, Sweden

    Sunday
    29 March 2020
    12:45 - 13:45

    Room Coumel
    Being successful: tools for a difficult case
    P. Defaye, Grenoble, France

    Being prepared: the safety net around the procedure
    R. Carrillo, Miami, USA

    Being connected: cooperation with referring centers
    V. Bärsch, Siegburg, Germany

    This symposium provides insights on how a lead extraction program could be shaped today. It specifically shows how to be successful in a challenging case, using up-to-date tools in the right setting. It also looks at how to provide a safety net for optimal patient outcome and how to strengthen the necessary networking with referring hospitals and physicians.
    lm-infection
    Lead extraction.

    Life saving.

     

    More than 6 in 10 patients suffering from cardiac device infections go untreated or undertreated.2

     

    All leading cardiac societies agree that safe, cost-effective and life-saving treatment for such an infection is complete removal of the device, including leads. Any patient with an implanted cardiac device and a suspected infection should be screened immediately for device infection.1

     

    Philips is dedicated to helping you recognize and treat implanted cardiac device infections by providing expert tools, training and support that help you save lives and vastly improve the quality of life for your patients.

    29% out of 433 patients with cardiac device infection have not been treated according to the current guidelines.3
    Infographic percentage of people
    127
    device systems remained in the body despite guideline recommendations3
    Infographic left bar
    101
    of these could not be successfully
    treated within 6 months3
    Infographic right bar
    26% mortality rate
    within 6 months after discharge without device removal*3

    No predictors for successful medical treatment of cardiac device infection could be found.

     

    *out of 53 patients discharged with infection, 26% died within the following 6 months

    Lead extraction vs. antibiotic treatment: New study looks at outcome for patients


    Data from the Multicenter Electrophysiologic Device Infection Collaboration, a prospective, observational, multinational cohort study of CIED infection, were used to investigate whether clinical predictors of successful salvage of infected devices could be identified.
    PI James E. Peacock MD summarizes: device explantation should remain a mandatory and early management intervention in patients with CIED infection in keeping with existing expert guidelines
    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%4, 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

    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.5

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    1. 2017 HRS Consensus Statement on Cardiovascular Implantable Electronic Device Lead Management and Extraction

    2. Sohail, M Rizwan, et al. Incidence, Treatment Intensity, and Incremental Annual Expenditures for Patients Experiencing a Cardiac Implantable Electronic Device Infection: Evidence from a Large US Payer Database 1-Year Post Implantation. Circ Arryhthm Electrophysiol. 2016; 9(8).

    3. Peacock Jr, James E., et al. “Attempted salvage of infected cardiovascular implantable electronic devices: Are there clinical factors that predict success?.” Pacing and Clinical Electrophysiology 41.5 (2018): 524-531

    4. 1999.14. Wazni, O et. Al. Lead Extraction in the Contemporary Setting: The LExICon Study: A Multicenter Observational Retrospective Study of Consecutive Laser Lead Extractions, J M Coll Cardiol. 55:579-586

    5. Maria Grazia Bongiorni, Charles Kennergren, Christian Butter, Jean Claude Deharo, Andrzej Kutarski5 Christopher A. Rinaldi, Simone L. Romano1, Aldo P. Maggioni, Maryna Andarala, Angelo Auricchio, Karl-Heinz Kuck, and Carina Blomstrӧm-Lundqvist, on behalf of ELECTRa Investigators; The European Lead Extraction ConTRolled (ELECTRa) study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes, European Heart Journal (2017) 38, 2995–3005

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