{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:08:34Z","timestamp":1787015314303,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The implantation of a cardiac implantable electronic device (CIED) can have esthetic and psychological consequences on patients. We explore a heart team model for care coordination and discuss esthetic approaches for improved cosmetic outcomes in patients undergoing (CIED)\u2010related procedures or de novo implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing CIED surgery for approved indications between June\u00a02015 and\u00a0June\u00a02022 were identified. Patients were included when surgical care was provided by a collaborative relationship between the primary electrophysiologist and the plastic surgeon. Patient demographics, details of the surgical procedure, information on breast implants, complications, and outcomes related to cosmesis were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010two female patients were included in this study. The mean age was 50.2\u2009\u00b1\u200918.2 years. The mean follow\u2010up duration was 2.2\u2009\u00b1\u20095.5 months. The top two indications for the procedure included CIED generator change (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099, 41%) and implantable cardioverter\u2010defibrillator (ICD) implantation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097, 32%). The most common reasons for involving plastic surgery in the procedure included surgery near breast implants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910, 45%) and device displacement or discomfort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098, 36%). CIED pocket position was prepectoral in 10 cases (45%), subpectoral in 11 patients (50%), and intramuscular in one patient (4.5%). The majority of the patients (20, 91%) had cosmetically acceptable results postprocedure. One patient (4.5%) had breast asymmetry on the CIED side, and another continued to have skin erosion over the CIED and leads.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A heart team approach incorporating the expertize of cardiac electrophysiology and plastic surgery is essential for providing optimal care for patients with breast implants and patients requesting esthetic appeal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.16196","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T23:54:03Z","timestamp":1708041243000},"page":"747-761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cardiac implantable electronic devices in female patients: Esthetic, breast implant, and anatomic considerations"],"prefix":"10.1111","volume":"35","author":[{"given":"Cristina A.","family":"Salinas","sequence":"first","affiliation":[{"name":"Department of Surgery,\u00a0Division of Plastic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6204-4557","authenticated-orcid":false,"given":"Fatima M.","family":"Ezzeddine","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7694-3617","authenticated-orcid":false,"given":"Siva K.","family":"Mulpuru","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9835-5536","authenticated-orcid":false,"given":"Samuel J.","family":"Asirvatham","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basel A.","family":"Sharaf","sequence":"additional","affiliation":[{"name":"Department of Surgery,\u00a0Division of Plastic Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.10.036"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.10.037"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2008.10.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2019.08.012"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1996.tb03180.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2008.07.022"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31827c73b1"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2017.44.1.34"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9592.2001.01679.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-009-9492-4"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2019.100404"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118483923.ch5"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198509000-00007"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/joa3.12156"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000122"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-012-9753-7"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.03.029"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.08.1034"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(11)65022-2"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-019-01521-3"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2000.tb00969.x"},{"key":"e_1_2_6_23_1","first-page":"40","article-title":"Efficacy and feasibility of the submuscular implantation technique for an implantable cardiac electrical device","volume":"14","author":"Asamura S","year":"2014","journal-title":"Eplasty"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.06.004"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12987"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivy002"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182590a0f"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2010.02871.x"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2005.00397.x"},{"key":"e_1_2_6_30_1","unstructured":"MitchellP GoldenR. Core principles & values of effective team\u2010based health care. National Academy of Sciences. 2021."},{"key":"e_1_2_6_31_1","volume-title":"Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: performance and tools)","author":"King HB","year":"2008"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-031912-114353"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.24.4.S49"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1142\/9789814417358_0006"},{"key":"e_1_2_6_35_1","unstructured":"TierneyJ. Do you suffer from decision fatigue?New York Times.2011."},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20160142"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16196","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T05:38:40Z","timestamp":1729748320000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16196"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,15]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/jce.16196"],"URL":"https:\/\/doi.org\/10.1111\/jce.16196","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,15]]},"assertion":[{"value":"2023-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}