Philips-backed study says more could be done to treat cardiac device infections

Roughly four in five Americans with cardiac implantable electronic device infections don’t receive recommended treatment, according to a Philips-funded study out of Duke University.

The large-scale, real-world analysis of CMS data also found that complete hardware extraction within 6 days was associated with a 42.9% lower risk of death than among patients who did not undergo device removal. Groups including the Heart Rhythm Society (HRS) have recommended extraction for all patients with a definite CIED infection, including complete device and lead removal.

“This study highlights the life-threatening nature of device infections and the significant opportunities to improve care in these complex patients,” Dr. Jonathan Piccini, the lead investigator of the study and the director of Cardiac Electrophysiology section at the Duke Heart Center, said in a news release. “The findings also emphasize the importance of timely diagnosis and complete treatm…

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Edwards Lifesciences tricuspid valve reduced leakage in 98% of patients

Edwards Lifesciences‘s Evoque tricuspid valve replacement system reduces tricuspid heart valve leakage to non-traceable or mild leakage in 98% of patients, according to a new study reported at the American College of Cardiology’s 70th Annual Scientific Session.

Evoque is designed to replace native tricuspid valves without open-heart surgery. The valve is implanted using a minimally invasive delivery system where a doctor places a thin tube through a vein in the leg to reach the patient’s heart and perform the valve replacement procedure.

The single-arm feasibility Triscend study found that the device deployed as intended and had no clinically significant paravalvular leak and good safety outcomes. Patients also showed significant improvements in six-minute walk distance and New York Heart Association physical function categories.

There were 56 patients in the study who had an average Kansas City Cardiomyopathy Questionnaire overall summ…

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