期刊
CLINICAL RESEARCH IN CARDIOLOGY
卷 111, 期 5, 页码 475-478出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00392-022-01990-8
关键词
Sudden cardiac death; Implantable cardioverter defibrillator; Subcutaneous ICD
资金
- Projekt DEAL
Implantable cardioverter defibrillators (ICDs) are effective in reducing the risk of sudden cardiac death, but transvenous implantation carries high risk. Subcutaneous ICDs (S-ICDs) offer a safer alternative for select patients.
Implantable cardioverter defibrillators (ICDs) have been shown to reduce the risk of sudden cardiac death in primary or secondary prevention with thousands of ICDs implanted every year worldwide. Whilst ICD are more commonly implanted transvenously (TV), this approach carries high risk of peri- and post-procedural complications. Subcutaneous ICD (S-ICD) have been introduced to overcome the intravascular complications of TV system by placing all metalware outside the chest cavity for those with an indication for a defibrillator and no pacing requirements. In conclusion, a review of the current guidelines recommendations regarding S-ICD may be needed considering the emerging evidence which shows high efficacy and safety with contemporary devices and programming algorithms. A stronger recommendation may be developed for selective patients who have an indication for single-chamber ICD in the absence of negative screening, recurrent monomorphic ventricular tachycardia, cardiac resynchronization therapy, or pacemaker indication. These criteria encapsulate a large proportion (around 70%!) of all ICD eligible patients.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据