Pocket Management: Before, During, and After

LEAD connection's picture

Release date: May 5, 2016
Expiration date: May 4, 2017
Estimated time to complete the activity: 1.25 hours

Jointly provided by Postgraduate Institute for Medicine (www.pimed.com) and Medtelligence


This activity is supported by an independent educational grant from Cook Medical.

Program Overview
This online activity, based on a live webinar held on April 26, 2016, features internationally renowned experts in lead management discussing timely topics, including:

  • Before Opening and Before Closing
  • Preop Evaluation: Bleeding, Seroma, or Infection
  • Wet Pockets

Target Audience
This activity has been designed to meet the educational needs of Electrophysiologists, Cardiac Surgeons and Fellows in these specialties who treat patients with implantable devices and require knowledge on lead and device management.

Educational Objectives
After completing this activity, the participant should be better able to:

  • Describe a lead management strategy that reduces adverse inflammation and bleeding events
  • Discuss how novel and emerging technology and current lead management strategies can best be integrated into EP practice to increase safety for pocket management
  • Identify pocket management techniques pre-, peri-, and post-procedure to reduce complications and related morbidity and mortality
  • Evaluate the latest advances in pocket management to optimize patient outcomes

Bruce L. Wilkoff, MD, Chair
Director of Cardiac Pacing & Tachyarrhythmia Devices
Department of Cardiovascular Medicine
Cleveland Clinic
Professor of Medicine
Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
Cleveland, OH

Roger G. Carrillo, MD
Associate Professor of Clinical Surgery
University of Miami Miller School of Medicine
University of Miami Hospital
Miami, FL

Saumya Sharma, MD
Assistant Professor of Cardiac Electrophysiology
The University of Texas Health Science Center at Houston
Director of Clinical Research
Complex Arrhythmia Center
Memorial Hermann-Texas Medical Center
Houston, TX

Physician Continuing Medical Education
Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Postgraduate Institute for Medicine and Medtelligence. The Postgraduate Institute for Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation
The Postgraduate Institute for Medicine designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Dr. Carrillo: Consulting Fees: Spectranetics; Fees for Non-CME/CE Services: Medtronic, St. Jude Medical, Sorin, Sensormatic.
Dr. Sharma: Consulting Fees: Boston Scientific, Cook Medical.
Dr. Wilkoff: No real or apparent conflicts of interest to report.

The planners and managers reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
The following PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, RN, BSN, and Jan Schultz, MSN, RN, CHCP, hereby state that they or their spouse/life partner do not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Medtelligence: Ben Caref, PhD; Pamela Clark – No financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.​

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. 

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Method of Participation and Request for Credit
After viewing the video, go to www.cmeuniversity.com and Register (new accounts) or Login. (If you have trouble logging into your CME University account, please email inquiries@pimed.com.)

Once logged in, follow these steps:
1. Click on the “Find Post-Test/Evaluation by Course:” at the top of the page.
2. Type in “11622” and hit enter.
3. Click on “Pocket Management: Before, During, and After: Enduring Activity” when it appears.
4. Choose your profession/type of credit you are seeking.
5. Complete the online Post-test and Evaluation Form.

Upon completion of the post-test, with a passing score of 75% or better, you will have immediate access to your CME certificate to download and/or print for your files.

If you have any questions regarding the CME certification of this activity, please contact Postgraduate Institute for Medicine at: inquiries@pimed.com or (303) 799-1930

Click here to view the video

Course Viewing Requirements
Supported Browsers:

Internet Explorer 9.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6+ for Mac OSX 10.7 and above

Thank you to all who participated in the April 26 and April 29 live webinars! 
To receive CME credit for either webinar, complete the pertinent evaluation on www.cmeuniversity.com. On the navigation menu, click on “Find Post-test/Evaluation by Course” and search by course ID #11563. Evaluations for both webinars are available on the same page.

Click here to download the slides