Peri-procedural routines, implantation techniques, and procedure-related complications in patients undergoing implantation of subcutaneous or transvenous automatic cardioverter-defibrillators: results of the European Snapshot Survey on S-ICD Implantation (ESSS-SICDI)
Key result
Subcutaneous and transvenous ICDs yield comparable 4% short-term complication rates and implantation durations.
- n=429
Why the study?
How do peri-procedural routines, implantation techniques, and short-term complications compare between S-ICD and TV-ICD implantations?
Population
429 consecutive patients undergoing implantation of subcutaneous or transvenous automatic…
Comparison
Subcutaneous implantable cardioverter-defibrillat… vs Transvenous implantable cardioverter-defibrillato…
Design
Cohort
Follow-up
short-term (peri-procedural)
Authors
Discussion
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Member takes
Implication
May inform individualized S-ICD or TV-ICD selection; extends observational data but leaves randomized confirmation open.
Study Design
Type
Observational (n=429)
Multicenter
Yes
Structured PICO
How do peri-procedural routines, implantation techniques, and short-term complications compare between S-ICD and TV-ICD implantations?
P
Population
429 consecutive patients undergoing implantation of subcutaneous or transvenous automatic cardioverter-defibrillators across 20 tertiary European electrophysiology centres in 6 countries.
I
Intervention
Subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation
C
Comparator
Transvenous implantable cardioverter-defibrillator (TV-ICD) implantation
O
Outcome
Peri-procedural practices, implantation techniques, and short-term procedure-related complicationssafety
Main Result
Absolute Event Rate: 4% vs 4%
Despite differences in peri-procedural routines and settings, S-ICD and TV-ICD implantations have comparable duration and short-term complication rates, supporting the routine clinical use of both devices.
Cite This Study
Lenarczyk et al. (2018) conducted an observational in Patients undergoing implantation of subcutaneous or transvenous automatic cardioverter-defibrillators (n=429). Subcutaneous implantable cardioverter-defibrillator (S-ICD) vs. Transvenous implantable cardioverter-defibrillator (TV-ICD) was evaluated on Short-term procedure-related complications. Subcutaneous and transvenous implantable cardioverter-defibrillators showed comparable short-term complication rates (4%) and implantation durations, despite differing peri-procedural routines.