Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement

Lars Lickfett

doi:10.1016/j.eupc.2003.09.001

December 22, 2003EP EuropaceOpen Access

Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement

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Why the study?

What is the incidence of venous obstruction following insertion of an implantable cardioverter defibrillator?

Key Points

Determine the incidence of venous obstruction via systematic contrast venography in patients presenting for their first elective ICD generator replacement.
Evaluated patients undergoing their first elective ICD generator replacement.
Performed systematic contrast venography prior to surgical intervention to evaluate venous patency.
Venous obstruction occurs relatively frequently after transvenous ICD lead placement.
Contrast venography provides critical vascular anatomy details and is strongly indicated when lead malfunction is suspected or device upgrades are planned.

Structured PICO

What is the incidence of venous obstruction following insertion of an implantable cardioverter defibrillator?

P

Population

Patients presenting for their first elective implantable cardioverter defibrillator (ICD) generator replacement

I

Intervention

Systematic contrast venography

O

Outcome

Incidence of venous obstruction

Venous obstruction occurs frequently after ICD implantation, highlighting the need for contrast venography prior to system upgrades or when lead malfunction is suspected.

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Implication

May warrant selective venography pre-upgrade; leaves open prospective incidence studies.

Abstract

This study shows that venous obstruction occurs relatively frequently after ICD implantation. Therefore, contrast venography should always be obtained if malfunction of a preexistent lead is suspected or a system upgrade is considered.

Discussion

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Cite This Study

Lars Lickfett (2003) studied this question.

synapsesocial.com/papers/69d56c0875589c71d767cad1 https://doi.org/10.1016/j.eupc.2003.09.001

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Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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