Comparative outcomes of Riata and Fidelis lead management strategies: Results from the NCDR‐ICD Registry

2021 ◽  
Author(s):  
Emily P. Zeitler ◽  
Yongfei Wang ◽  
Sean D. Pokorney ◽  
Jeptha Curtis ◽  
Jordan M. Prutkin
Keyword(s):  
Management Strategies ◽  
Lead Management

Abstract 14091: Outcomes of Patients With Recalled Defibrillator Leads: Results From the NCDR-ICD Registry

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Emily P Zeitler ◽  
Yongfei Wang ◽  
Jeptha P Curtis ◽  
Jordan M PRUTKIN
Keyword(s):  
Management Strategies ◽  
Significant Risk ◽  
Hospital Death ◽  
Icd Leads ◽  
Sprint Fidelis ◽  
Medicare Patients ◽  
Lead Management ◽  
Future Work ◽  
Generator Replacement

Introduction: Whether to reuse, abandon, or extract functioning, recalled ICD leads at the time of generator replacement is an area of uncertainty as lead failure is more common following generator replacement, and long term failure rates of recalled ICD leads are unknown. We sought to evaluate outcomes following various lead management strategies at the time of generator replacement. Hypothesis: Functional St. Jude Riata and Medtronic Sprint Fidelis leads at the time of elective generator replacement are more frequently reused than replaced, and extracting them poses significant procedural risk. Methods: We queried the NCDR ICD Registry for Medicare patients undergoing elective generator replacement with a normal Fidelis or Riata lead from 2010-2016 and categorized patients based on the fate of the recalled lead: reused, abandoned, or extracted. We report pre-discharge complications by group. Results: There were 9937 generator replacement patients between 2010-2016 with a functioning Riata or Fidelis lead in which lead management was reported. The lead was reused in 9806 (98%) patients, extracted in 55 (0.6%), and abandoned in 76 (0.8%). Compared with the reused group, extracted patients were >10 years younger, had less heart failure and fewer comorbidities. In-hospital death occurred in 4 (7.3%) patients in the extracted group and 7 (0.07%) in the reused group (P<0.0001). The combination of death or any pre-discharge event occurred in 11% of extracted patients compared with 0.3% and 0% in the reused and abandoned groups, respectively.(Table) Conclusions: At the time of generator replacement, a small percentage of functional Riata and Fidelis leads were extracted. Even in this highly selected extraction population, extraction posed significant risk of in-hospital mortality and severe complications. Future work will help clarify whether these peri-procedural risks may be justified by improved medium and long term outcomes.

Pacemaker Lead Management Strategies

2019 ◽  
pp. 255-269
Author(s):  
George Palmer
Keyword(s):  
Management Strategies ◽  
Pacemaker Lead ◽  
Lead Management

Customer Acquisition Management Strategies

2015 ◽  
pp. 219-243
Keyword(s):  
Management Strategies ◽  
Customer Retention ◽  
Customer Acquisition ◽  
Management Process ◽  
Customer Base ◽  
Process Understanding ◽  
Lead Management ◽  
Acquisition Management ◽  
Lead Nurturing

Achieving customer retention and loyalty is vital for the success of the company; however, acquiring new customers has to be considered equally significant to the customer retention process. Since the company's ability to grow its customer base determines the long-term success of the company, companies need to consider customer acquisition as an ongoing process. Customer acquisition management process involves identifying, attracting, and retaining potentially profitable customers. This chapter starts with examining the phases of the lead management process. Understanding customers is seen as important for effective lead management. After explaining the lead generation and lead nurturing within the context of lead management, this chapter ends up with underlining the importance of lead management automation for customer acquisition.

Transvenous Lead Extraction for Cardiac Implantable Electronic Devices

2015 ◽  
Vol 26 (4) ◽  
pp. 320-328
Author(s):  
Julie B. Shea
Keyword(s):  
Patient Outcomes ◽  
Electronic Devices ◽  
Management Strategies ◽  
Lead Extraction ◽  
Comprehensive Understanding ◽  
Care Nurse ◽  
Critical Care Nurse ◽  
Cardiac Implantable Electronic Devices ◽  
Individualized Care ◽  
Lead Management

This article illustrates the important role that lead extraction plays in the management of patients with cardiac implantable electronic devices. Individualized care of the patient is paramount when considering lead management strategies. The critical care nurse must have a comprehensive understanding of the indications, procedural considerations, and preprocedural and postprocedural care for patients undergoing lead extraction procedures, thereby improving patient safety and maximizing patient outcomes.

Improving Speech and Language Services through Effective Time Management

1983 ◽  
Vol 14 (2) ◽  
pp. 86-91 ◽  
Author(s):  
Barbara W. Travers
Keyword(s):  
Time Management ◽  
Management Strategies ◽  
Federal State ◽  
Speech Language Pathologist ◽  
School Based ◽  
Work Area ◽  
Paper Work ◽  
Areas Of Concern ◽  
State And Local ◽  
Therapeutic Services

This paper presents strategies for increasing the effectiveness and efficiency of the school-based speech-language pathologist. Various time management strategies are adapted and outlined for three major areas of concern: using time, organizing the work area, and managing paper work. It is suggested that the use of such methods will aid the speech-language pathologist in coping with federal, state, and local regulations while continuing to provide quality therapeutic services.

A Case Study: Unique Challenges of an Adolescent Female With Autism Spectrum Disorder

2020 ◽  
Vol 5 (1) ◽  
pp. 314-325
Author(s):  
Kimberly F. Frazier ◽  
Jessica Collier ◽  
Rachel Glade
Keyword(s):  
Autism Spectrum Disorder ◽  
Cognitive Abilities ◽  
Social Cognitive ◽  
Social Performance ◽  
Management Strategies ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Self Management ◽  
Adolescent Female ◽  
Social Thinking

Background The aim of this study was to determine the clinical efficacy of combining self-management strategies and a social thinking approach to address the social performance and executive function of an adolescent female with autism spectrum disorder. Method This research examined the effects of a social knowledge training program, “Think Social,” as well as strategies to improve higher order cognitive abilities. Results and Conclusion Although quantitative improvement was not found, several qualitative gains in behavior were noted for the participants of this study, suggesting a benefit from using structured environmental cues of self-management strategies, as well as improved social understanding through social cognitive training.

Understanding Limited Use of Amplification in Infants and Children Who Are Hard of Hearing

2015 ◽  
Vol 25 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Ryan W. McCreery ◽  
Elizabeth A. Walker ◽  
Meredith Spratford
Keyword(s):  
Hard Of Hearing ◽  
Hearing Aid ◽  
Management Strategies ◽  
Infants And Children ◽  
Future Research ◽  
Research Needs ◽  
Case Examples ◽  
Hearing Aid Use ◽  
Wide Range ◽  
In Infants And Children

The effectiveness of amplification for infants and children can be mediated by how much the child uses the device. Existing research suggests that establishing hearing aid use can be challenging. A wide range of factors can influence hearing aid use in children, including the child's age, degree of hearing loss, and socioeconomic status. Audiological interventions, including using validated prescriptive approaches and verification, performing on-going training and orientation, and communicating with caregivers about hearing aid use can also increase hearing aid use by infants and children. Case examples are used to highlight the factors that influence hearing aid use. Potential management strategies and future research needs are also discussed.

23: Renal Arterial Injuries: A Single Center Analysis of Management Strategies and Outcomes

2007 ◽  
Vol 177 (4S) ◽  
pp. 9-9
Author(s):  
Ephrem O. Olweny ◽  
Sean P. Elliott ◽  
Thomas X. Minor ◽  
Jack W. McAninch
Keyword(s):  
Management Strategies ◽  
Single Center ◽  
Arterial Injuries

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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