IMACS Users' Guide – Version 1.0 - The International Society for ...

IMACS Users’ Guide – Version 1.0
12/21/2012
Page 10 of 56
2.0 Data Dictionary Page
2.1 Screening Log 11
2.2 Demographic Form 13
2.3 Pre-implant Form 15
2.4 Implant Form 28
2.5 1 mth Follow-up Form 29
2.6 3 mth/6 mth Follow-up Form 35
2.7 Implant Discharge Form 41
2.8 Explant: For Device Exchange, Recovery 44
or Transplant Form
2.9 Death form 45
2.10 Adverse Events
Major Events 46
Device Malfunction 46
Infection 49
Neurological Dysfunction 51
Bleeding 53
Respiratory Failure 55
Arterial Non-CNS Thromboembolism 55
Right Heart Failure 56