Lead choice in cardiac implantable electronic devices: an Italian survey promoted by AIAC (Italian Association of Arrhythmias and Cardiac Pacing)

Ziacchi, Matteo; Palmisano, Pietro; Biffi, Mauro; Guerra, Federico; Stabile, Giuseppe; Forleo, Giovanni B.; Zanotto, Gabriele; D’Onofrio, Antonio; Landolina, Maurizio; Ponti, Roberto De; Berisso, Massimo Zoni; Ricci, Renato Pietro; Boriani, Giuseppe

doi:10.1080/17434440.2019.1649134

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Approximately one fourth of Italian arrhythmological centres from all over the country took part in the survey. Almost half of the procedures were performed under local sedation, owing to their low risk of complications and low level of pain [6][7][8][9]. DCC requires rapid, deep sedation; this can be achieved by means of a cardiologist-administered benzodiazepine bolus, or by anaesthesiologist-assisted sedation with propofol as both strategies seem equally safe in elective [10] and urgent settings [11].…”

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confidence: 99%

The Practice of Deep Sedation in Electrophysiology and Cardiac Pacing Laboratories: Results of an Italian Survey Promoted by the AIAC (Italian Association of Arrhythmology and Cardiac Pacing)

Palmisano¹,

Ziacchi

Angeletti

et al. 2021

JCM

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The aim of this survey, which was open to all Italian cardiologists involved in arrhythmia, was to assess common practice regarding sedation and analgesia in interventional electrophysiology procedures in Italy. The survey consisted of 28 questions regarding the approach to sedation used for elective direct-current cardioversion (DCC), subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation, atrial fibrillation (AF) ablation, ventricular tachycardia (VT) ablation, and transvenous lead extraction procedures. A total of 105 cardiologists from 92 Italian centres took part in the survey. The rate of centres where DCC, S-ICD implantation, AF ablation, VT ablation and lead extraction procedures were performed without anaesthesiologic assistance was 60.9%, 23.6%, 51.2%, 37.3%, and 66.7%, respectively. When these procedures were performed without anaesthesiologic assistance, the drugs (in addition to local anaesthetics) commonly administered were benzodiazepines (from 64.3% to 79.6%), opioids (from 74.4% to 88.1%), and general anaesthetics (from 7.1% to 30.4%). Twenty-three (21.9%) of the 105 cardiologists declared that they routinely administered propofol, without the supervision of an anaesthesiologist, in at least one of the above-mentioned procedures. In current Italian clinical practice, there is a lack of uniformity in the sedation/analgesia approach used in interventional electrophysiology procedures.

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