Outcomes of subcutaneous implantable cardioverter-defibrillator implantation in patients on hemodialysis

Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing
Eduard KomanSteven P Kutalek

Abstract

Subcutaneous implantable cardioverter-defibrillator (S-ICD) provides potential benefits in patients on hemodialysis (HD) by reducing the risk of blood stream infection and preserving vascular access sites. We evaluated the safety and efficacy of S-ICD in patients with end-stage renal disease (ESRD) on HD. All consecutive patients implanted with S-ICD between October 2012 and April 2015 at our high-volume center were included in this retrospective, single-center study. Baseline demographics, procedural details, and short- as well as long-term outcomes were compared between patients on HD and not on HD. A total of 86 S-ICDs were implanted at our institution during the study period. Eighteen (21%) patients were on HD at the time of implant. HD patients were more likely to be implanted for secondary prevention. There was no statistically significant difference in procedural complications between the two groups. HD patients had a longer duration hospital stay after implant (3.6 ± 5.14 vs. 1.69 ± 2.29 days, p = 0.021). During a mean follow-up of 205 ± 208 days in the HD cohort and 242 ± 238 days in the non-HD cohort (p = 0.268), there was no device or blood stream infection in the HD group, compared with five device infections in the...Continue Reading

References

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Citations

Mar 20, 2018·The Journal of Vascular Access·Mariusz Kusztal, Krzysztof Nowak
Mar 12, 2019·Circulation·Janani RangaswamiUNKNOWN American Heart Association Council on the Kidney in Cardiovascular Disease and Council on Clinical Cardiology
Sep 25, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Patrick H PunSana M Al-Khatib
Jul 7, 2020·Current Problems in Cardiology·James N KiageRami N Khouzam
Apr 21, 2021·Pacing and Clinical Electrophysiology : PACE·Sugeevan SavarimuthuAmer Harky

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