Boveda, S;
Chalbia, TE;
Jacob, S;
Combes, S;
Combes, N;
Cardin, C;
Laborie, G;
... Providencia, R; + view all
(2018)
Duration of hospital admission, need of on-demand analgesia and other peri-procedural and short-term outcomes in sub-cutaneous vs. transvenous implantable cardioverter–defibrillators.
International Journal of Cardiology
, 258
pp. 133-137.
10.1016/j.ijcard.2017.11.104.
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Abstract
Background: Post-procedural recovery following sub-cutaneous ICD (S-ICD) implantation is feared to be more painful and to require more prolonged hospital admission. The purpose of this study was to compare peri-procedural and short clinical outcomes of the S-ICD vs. the Transvenous ICD (TV-ICD). // Methods: We conducted a single-center cross-sectional study including all consecutive patients who underwent S-ICD implantation by the same operator since January 2016 and a gender and age-matched control group with all single chamber TV-ICD implanted patients over a contemporary time period. // Results: Thirty-one patients (sex ratio 1/5; mean age 58.7 ± 13.2 years) with S-ICD were compared to 31 matched TV-ICD patients. Duration of the implant procedure was significantly longer for the S-ICD (58.0 ± 24.4 min vs 41.7 ± 20.8 min TV-ICD, p < 0.01). Mean fluoroscopy time for the TV-ICD was 3.5 ± 3.6 min vs 0.1 ± 0.01 min for all S-ICD patients (p < 0.01). Requirement of on-demand analgesia administration, and duration of hospitalization (1.5 days for both groups; p = NS) were similar in the two groups. No peri-procedural events were reported, and after a mean follow-up of 6 months, the only complication was a pocket infection requiring reintervention in the TV-ICD group. // Conclusions: The S-ICD appears to be as effective and safe as the conventional single chamber TV-ICD. Duration of hospital admission and need of on-demand analgesia are also comparable for S-ICD patients.
| Type: | Article |
|---|---|
| Title: | Duration of hospital admission, need of on-demand analgesia and other peri-procedural and short-term outcomes in sub-cutaneous vs. transvenous implantable cardioverter–defibrillators |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ijcard.2017.11.104 |
| Publisher version: | https://doi.org/10.1016/j.ijcard.2017.11.104 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Subcutaneous Implantable Defibrillator; Transvenous ICD; pain assessment; duration of hospitalization; short term clinical outcomes; matched comparison |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10052016 |
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