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ILEEM-survey on the Heart Team approach and team training for lead extraction procedures
CT. Starck, F. Bracke, PP. Delnoy, RA. Freedman, A. Kutarski, M. Gallagher, M. Shoda, R. Peyton, M. Sohal, F. Gadler, K. Sedlacek, J. Hartikainen, P. Mazzone, A. Breitenstein, N. Lever
Jazyk angličtina Země Polsko
Typ dokumentu časopisecké články
Free Medical Journals od 2007 do Před 1 rokem
PubMed Central od 2019
ProQuest Central od 2010-01-01
Open Access Digital Library od 2000-01-01
Medline Complete (EBSCOhost) od 2010-01-01
Health & Medicine (ProQuest) od 2010-01-01
ROAD: Directory of Open Access Scholarly Resources od 2007
Odkazy
PubMed
32914862
DOI
10.5603/cj.a2020.0106
Knihovny.cz E-zdroje
- MeSH
- kardiologové * MeSH
- lékaři * MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- týmová péče o pacienty MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: The Heart Team approach has become an integral part of modern cardiovascular medicine. To evaluate current opinions and real-world practice among lead extraction practitioners, an online survey was created and distributed among a pool of lead extraction specialists participating in the International Lead Extraction Expert Meeting (ILEEM) 2018. METHODS: The online survey consisted of 10 questions and was performed using an online survey tool (www.surveymonkey.com). The collector link was sent to 48 lead extraction experts via email. RESULTS: A total of 43 answers were collected (89% return rate) from lead extraction experts in 16 different countries. A great majority (83.7%) of the respondents performed more than 30 lead extraction procedures per year. The most common procedural environment in this survey was the hybrid operating room (67.4%). Most procedures were performed by electrophysiologists and cardiologists (80.9%). Important additional members of the current lead extraction teams were cardiac surgeons (79.1%), anesthesiologists (95.3%) and operating room scrub nurses (76.7%). An extended Heart Team is regarded beneficial for patient care by 86.0%, with potential further members being infectious diseases specialists, intensivists and radiologists. Team training activities are performed in 48.8% of participating centers. CONCLUSIONS: This survey supports the importance of establishing lead extraction Heart Teams in specialized lead extraction centers to potentially improve patient outcomes. The concept of a core and an extended Heart Team approach in lead extraction procedures is introduced.
Department for Cardiology Institute for Clinical and Experimental Medicine Prague Czech Republic
Department of Arrhythmology and Cardiac Pacing Unit IRCCS Ospedale San Raffaele Milan Italy
Department of Cardiology Catharina Hospital Eindhoven The Netherlands
Department of Cardiology Isala Hospital Zwolle The Netherlands
Department of Cardiology Karolinska University Hospital Stockholm Sweden
Department of Cardiology Medical University of Lublin Poland
Department of Cardiology Tokyo Women's Medical University Tokyo Japan
Department of Cardiovascular Medicine Shinshu University School of Medicine Matsumoto Japan
German Center of Cardiovascular Research partner site Berlin Berlin Germany
German Heart Center Berlin Department of Cardiothoracic and Vascular Surgery Berlin Germany
Green Lane Cardiovascular Service Auckland City Hospital and University of Auckland New Zealand
Heart Center Kuopio University Hospital and University of Eastern Finland Kuopio Finland
Steinbeis University Berlin Institute of Cardiovascular Perfusion Berlin Germany
UNC REX Healthcare Cardiac Surgical Specialists Raleigh North Carolina United States
University of Utah Sciences Center Salt Lake City Utah United States
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- $a Starck, Christoph T $u German Heart Center Berlin, Department of Cardiothoracic and Vascular Surgery, Berlin, Germany. starck@dhzb.de $u German Center of Cardiovascular Research (DZHK), partner site Berlin, Berlin, Germany. starck@dhzb.de $u Steinbeis University Berlin, Institute (STI) of Cardiovascular Perfusion, Berlin, Germany. starck@dhzb.de $1 https://orcid.org/0000000227531456
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- $a BACKGROUND: The Heart Team approach has become an integral part of modern cardiovascular medicine. To evaluate current opinions and real-world practice among lead extraction practitioners, an online survey was created and distributed among a pool of lead extraction specialists participating in the International Lead Extraction Expert Meeting (ILEEM) 2018. METHODS: The online survey consisted of 10 questions and was performed using an online survey tool (www.surveymonkey.com). The collector link was sent to 48 lead extraction experts via email. RESULTS: A total of 43 answers were collected (89% return rate) from lead extraction experts in 16 different countries. A great majority (83.7%) of the respondents performed more than 30 lead extraction procedures per year. The most common procedural environment in this survey was the hybrid operating room (67.4%). Most procedures were performed by electrophysiologists and cardiologists (80.9%). Important additional members of the current lead extraction teams were cardiac surgeons (79.1%), anesthesiologists (95.3%) and operating room scrub nurses (76.7%). An extended Heart Team is regarded beneficial for patient care by 86.0%, with potential further members being infectious diseases specialists, intensivists and radiologists. Team training activities are performed in 48.8% of participating centers. CONCLUSIONS: This survey supports the importance of establishing lead extraction Heart Teams in specialized lead extraction centers to potentially improve patient outcomes. The concept of a core and an extended Heart Team approach in lead extraction procedures is introduced.
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