How to Avoid and Manage CIED Implantation-Related Complications-Pocket Infection-Lessons learned from PADIT (Presenter: Andrew D. Krahn, MD, FHRS)

Pocket Infection-Lessons learned from PADIT (Presenter: Andrew D. Krahn, MD, FHRS)

Video Transcription

Video Summary

In this video, the speaker discusses the prevention of infection in implantable device procedures, focusing on the importance of a multi-component approach. They emphasize the need to address factors both before and after the procedure, including preoperative preparations, intraoperative precautions, and postoperative care. The speaker mentions two clinical trials, PADET and RAPID, which both investigated different strategies to prevent infection. PADET found that a combination of antibiotics given before and during the procedure, as well as retained antibiotic material in the wound, reduced infection rates by 20%. RAPID, on the other hand, showed the effectiveness of a pocket-directed intervention using a Tyrex pouch to significantly reduce pocket infections. The speaker also discusses a risk score developed from the PADET trial, which can help predict the risk of infection and guide intervention choices. Overall, the speaker emphasizes the importance of a comprehensive approach to infection prevention and the potential for achieving a 1% infection rate.

Meta Tag

Lecture ID 6508

Location Room 155

Presenter Andrew D. Krahn, MD, FHRS

Role Invited Speaker

Session Date and Time May 10, 2019 4:30 PM - 6:00 PM

Session Number S-088

Keywords

infection prevention

implantable device procedures

multi-component approach

clinical trials

pocket-directed intervention