التفاصيل البيبلوغرافية
| العنوان: |
How to minimize peri-procedural complications during subcutaneous defibrillator implant? |
| المؤلفون: |
Afzal, Muhammad R., Okabe, Toshimasa, Hsu, Kevin, Cook, Schuyler, Koppert, Tanner, Weiss, Raul |
| المصدر: |
Expert Review of Cardiovascular Therapy; Jul2020, Vol. 18 Issue 7, p427-434, 8p |
| مصطلحات موضوعية: |
DEFIBRILLATORS, SUDDEN death prevention, CARDIAC arrest, IMPLANTABLE cardioverter-defibrillators, PULSE generators, ARTIFICIAL implants, ARRHYTHMIA treatment, DISEASE incidence, TREATMENT effectiveness |
| مستخلص: |
Introduction: Subcutaneous defibrillator (S-ICD) is the latest development in the clinically available devices for sudden cardiac death prevention. Experience from pivotal trials and post-marketing studies has proven the feasibility and safety of S-ICD. Extra-cardiac location of S-ICD obviates the need for transvenous leads which translates into lower incidence of lead-related complications and systemic infections. This is a review on peri-procedural interventions to minimize complications associated with S-ICD during implant and follow-up.Areas Covered: This paper will highlight the results of pertinent studies related to perioperative management of S-ICD and review the approaches to minimize the risk of complications such as hematoma at the pulse generator location, unsuccessful defibrillation due to suboptimal S-ICD lead and generator position, postoperative pain, inappropriate shocks due to T wave oversensing and interaction with concomitant cardiac implantable devices. An extensive literature search was performed to identify the relevant articles.Expert Commentary: The use of S-ICD is expanding, and the published results suggest a preferential use of such devices for younger patients and those with a potential risk of infection from intravascular devices. The perioperative management of S-ICD has significantly evolved during a decade of experience. Contemporary experience suggests that these procedures are associated with minimal complications. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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