Peri-procedural routines, implantation techniques, and procedure-related complications in patients undergoing implantation of subcutaneous or transvenous automatic cardioverter-defibrillators: results of the European Snapshot Survey on S-ICD Implantation (ESSS-SICDI)

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
Radoslaw LenarczykNikolaos Dagres

Abstract

The aim of this European Heart Rhythm Association (EHRA) prospective snapshot survey is to assess peri-procedural practices, implantation techniques, and short-term procedure-related complications associated with implantation of subcutaneous implantable cardioverter-defibrillator (S-ICD) or transvenous implantable cardioverter-defibrillator (TV-ICD), across tertiary European electrophysiology centres. An internet-based electronic questionnaire concerning implantation settings, peri-procedural routines, techniques, personnel, complications, and patient outcomes was sent to the centres routinely implanting both TV-ICDs and S-ICDs. The centres were requested to prospectively include consecutive patients implanted with either TV-ICD or S-ICD during the 8-week enrolment period. Overall, 20 centres from 6 countries enrolled 429 consecutive patients. Subcutaneous implantable cardioverter-defibrillators (20%) compared with TV-ICD were implanted mainly under general anaesthesia (72% vs. 14%), in the surgical operation room settings (69% vs. 43%), with more frequent prophylactic antibiotic administration (82% vs. 91%), and post-implant defibrillation testing (85% vs. 7%, all P < 0.05). Feasibility (implantation duration of 45 min) and sh...Continue Reading

Citations

Nov 9, 2019·Pacing and Clinical Electrophysiology : PACE·Muhammad R AfzalMichael Essandoh
Nov 30, 2019·Journal of Cardiovascular Electrophysiology·Matteo ZiacchiAndrea Droghetti
Nov 13, 2018·Arrhythmia & Electrophysiology Review·Adryan A PerezRoger G Carrillo
Jul 12, 2018·Current Cardiology Reports·S W E BaalmanR E Knops
Feb 26, 2020·British Journal of Hospital Medicine·Meghan CartonDavid Moore
Nov 20, 2020·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Roberto RordorfAlessandro Vicentini

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