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June 14, 2019Pacing and Clinical Electrophysiology

Assessing the safety of implantable cardioverter‐defibrillator reuse—A retrospective case‐control study

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Why the study?

While pacemaker reuse is well established, the safety of reusing implantable cardioverter-defibrillators regarding functionality and infection rates had not been properly investigated.

Does the use of resterilized, reused ICDs increase the rate of complications compared to new ICDs in patients with class I indications?

Population

271 patients with class I indication for ICD implantation in Romania

Design

Retrospective case-control study

Authors

BEBogdan EnacheVictor Babeș University of Medicine and Pharmacy TimișoaraRȘRaluca ȘoșdeanElectrophysiologyRMR MacarieInstitute e-Austria Timisoara

Discussion

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Implication

Supports consideration of verified resterilized ICDs where new devices unavailable; leaves open need for prospective trials before broader adoption.

Structured PICO

Does the use of resterilized, reused ICDs increase the rate of complications compared to new ICDs in patients with class I indications?

P
Population
271 patients with class I indication for implantable cardioverter-defibrillator (ICD) implantation treated at a single center in Romania between January 2001 and December 2012.
I
Intervention
Donated, used (resterilized) implantable cardioverter-defibrillator (ICD)
C
Comparator
New implantable cardioverter-defibrillator (ICD)
O
Outcome
Complications (defined as infections requiring reintervention, device malfunction, and replacements due to untimely or unexpected battery depletion)safety

Properly verified and resterilized ICDs appear to be as safe as new devices regarding infection and malfunction rates, offering a safe and cost-effective alternative in resource-limited settings.

Cite This Study

Enache et al. (2019) studied this question.

synapsesocial.com/papers/6a72da5c52863cde50543971https://doi.org/10.1111/pace.13742

Topics

Cardiac device therapy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Re-used pacemakers—as safe as new? A retrospective case-control study1998 · 63 citations
  2. 2Reuse of Explanted, Resterilized Implantable Cardioverter-Defibrillators2012 · 39 citations
  3. 3Safety of Pacemaker Reuse2011 · 79 citations
  4. 4Patient Preferences Regarding Device Reuse and Potential of Devices for Reuse - A Study in a Veteran Population2013 · 4 citations
  5. 5Time‐Dependence of Appropriate Implantable Defibrillator Therapy in Patients with Ischemic Cardiomyopathy2008 · 67 citations