Infection and mortality after implantation of a subcutaneous ICD after transvenous ICD extraction

Heart Rhythm : the Official Journal of the Heart Rhythm Society
Lucas V A BoersmaEFFORTLESS and IDE Study Investigators

Abstract

The subcutaneous implantable cardioverter-defibrillator (S-ICD) provides an alternative to the transvenous implantable cardioverter-defibrillator (TV-ICD). Patients undergoing TV-ICD explantation may be eligible for reimplantation with an S-ICD; however, information on safety outcomes in this complex population is limited. This analysis was designed to provide outcome and safety data from S-ICD patients who received their device after TV-ICD explantation. Patients in the S-ICD IDE Study and EFFORTLESS Registry with a prior TV-ICD explantation, as well as those with no prior implantable cardioverter-defibrillator (ICD), were included. Patients were divided into 3 groups: those implanted with the S-ICD after TV-ICD extraction for system-related infection (n = 75); those implanted after TV-ICD extraction for reasons other than system-related infection (n = 44); and patients with no prior ICD (de novo implantations, n = 747). Mean follow-up duration was 651 days, and all-cause mortality was low (3.2%). Patients previously explanted for TV-ICD infection were older (55.5 ± 14.6, 47.8 ± 14.3 and 49.9 ± 17.3 years in the infection, noninfection, and de novo cohorts, respectively; P = .01), were more likely to have received the ICD for ...Continue Reading

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Citations

Sep 22, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Timothy R BettsTom Wong
Dec 13, 2016·Pacing and Clinical Electrophysiology : PACE·Michael R GoldLucas Boersma
Dec 13, 2016·Pacing and Clinical Electrophysiology : PACE·Federico MiglioreEmanuele Bertaglia
Jan 13, 2018·Circulation. Arrhythmia and Electrophysiology·Jonathan Chrispin, Charles J Love
Oct 3, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Paolo De FilippoAlessandro Capucci
Aug 28, 2020·Pacing and Clinical Electrophysiology : PACE·Florian Ernst Martin HerrmannSebastian Sadoni
Dec 31, 2020·Pacing and Clinical Electrophysiology : PACE·Da-Un ChungSamer Hakmi
Oct 17, 2020·Medical Devices : Evidence and Research·Agnieszka KotalczykGregory Y H Lip
Nov 21, 2019·Journal of cardiology·Kevin WillyGerrit Frommeyer
Jun 24, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thomas D CallahanBruce L Wilkoff

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