Multicenter Registry of Subcutaneous Cardioverter-Defibrillator Implantations — preliminary report

Kempa, Maciej; Przybylski, Andrzej; Budrejko, Szymon; Krupa, W.; Kaczmarek, Krzysztof; Klinke, Anna; Syska, Paweł; Sokal, Adam; Grabowski, Marcin; Jagielski, Dariusz; Grymuza, Maciej; Szafarz, Piotr; Tubek, Stanisław; Orski, Zbigniew; Zakrzewska-Koperska, Joanna; Machejek, Jakub; Kwaśniewski, Wojciech

doi:10.33963/kp.a2021.0002

Cited by 6 publications

(6 citation statements)

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“…Since the first implantation of an S-ICD in Poland in October 2014, the procedure has been successfully introduced to clinical practice. No early or late complications have been observed so far [34][35][36]. The experience of our department is similar.…”

Section: Discussionsupporting

confidence: 69%

Application of Novel Technologies in Cardiac Electrotherapy to Prevent Complications

et al. 2023

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(1) Background: Cardiac electrotherapy is developing quickly, which implies that it will face a higher number of complications, with cardiac device-related infective endocarditis (CDRIE) being the most frequent, but not the only one. (2) Methods: This is a retrospective case study followed by a literature review, which presents a patient with a rare but dangerous complication of electrotherapy, which could have been prevented if modern technology had been used. (3) Results: A 34-year-old female was admitted with suspicion of CDRIE based on an unclear echocardiographic presentation. However, with no signs of infection, that diagnosis was not confirmed, though an endocardial implantable cardioverter-defibrillator (ICD) lead was found folded into the pulmonary trunk. The final treatment included transvenous lead extraction (TLE) and subcutaneous ICD (S-ICD) implantation. (4) Conclusions: With the increasing number of implantations of cardiac electronic devices and their consequences, a high index of suspicion among clinicians is required. The entity of the clinical picture must be thoroughly considered, and various diagnostic tools should be applied. Lead dislocation into the pulmonary trunk is an extremely rare complication. Our findings align with the available literature data, where asymptomatic cases are usually effectively treated with TLE. Modern technologies, such as S-ICD, can effectively prevent lead-related problems and are indicated in young patients necessitating long-term ICD therapy.

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Section: Discussionsupporting

confidence: 69%

Application of Novel Technologies in Cardiac Electrotherapy to Prevent Complications

et al. 2023

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“…Registry A was a multicenter query reporting data of 18 patients from 5 centers that pioneered S-ICD implantations in Poland [6]. Registry B is a nationwide initiative held by the Heart Rhythm Section of the Polish Cardiac Society [7], and 16 centers performing S-ICD implantations report data of subsequent patients undergoing implantation or exchange of the device. The analysis comprised only 144 patients from Registry B undergoing first-time implantation of the system.…”

Section: Methodsmentioning

confidence: 99%

Evolution of implantation technique and indications for a subcutaneous cardioverter-defibrillator: over 7 years of experience in Poland

et al. 2021

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“…The median MLHFQ total score was 24 (9-41) for S-ICD and 28 (14-43) for TV-ICD (P = 0.83). For the mental and physical dimensions, the median score was 6 (1-12) and 8.5 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) for S-ICD, respectively, where-as for TV-ICD: 5 (1-10) and 12 (6-17) (S-ICD vs. TV-ICD: P = 0.50 and P = 0.65).…”

Section: Quality Of Lifementioning

confidence: 98%

Quality of life in patients with a subcutaneous vs. transvenous implantable cardioverter-defibrillator

et al. 2022

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Background:The implantable cardioverter-defibrillator (ICD) and subcutaneous ICD (S-ICD) are well-accepted life-saving devices for treating potentially lethal ventricular arrhythmia, but little is known about quality of life (QoL) in patients with S-ICD and ICD.Aims: Our study aimed to compare QoL in patients with S-ICD and ICD. Methods: All consecutive patients who had S-ICD implanted between October 2015 and September 2021 were included in the study. A cohort of transvenous ICD (TV-ICD) patients was matched to S-ICD subjects by sex, age, indications for the device, and type of prevention. All patients were requested to fulfill two standardized questionnaires to assess QoL: 36-Item Short Form Health Survey (SF-36) and Minnesota Living with Heart Failure Questionnaire (MLHFQ) 6 months after device implantation.Results: Patients with S-ICD (n = 49) and TV-ICD (n = 49) did not differ regarding baseline characteristics. There were no statistically significant differences between S-ICD and TV-ICD subgroup, both for mental and physical QoL assessed in SF-36 and MLHFQ (all P = NS). The median MLHFQ total score was 24 (9-41) for S-ICD and 28 (14-43) for TV-ICD (P = 0.83). The median total score for the SF-36 questionnaire was 62.5 (29-86) vs. 59 (38-77) for S-ICD and TV-ICD, respectively (P = 0.78).Conclusions: Quality of life after device implantation does not differ significantly between the groups of patients with subcutaneous and conventional implantable cardioverter-defibrillator.

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Multicenter Registry of Subcutaneous Cardioverter-Defibrillator Implantations — preliminary report

Cited by 6 publications

References 0 publications

Application of Novel Technologies in Cardiac Electrotherapy to Prevent Complications

Application of Novel Technologies in Cardiac Electrotherapy to Prevent Complications

Evolution of implantation technique and indications for a subcutaneous cardioverter-defibrillator: over 7 years of experience in Poland

Quality of life in patients with a subcutaneous vs. transvenous implantable cardioverter-defibrillator

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