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April 7, 2018Journal of Cardiovascular ElectrophysiologyOpen Access

Six‐year follow‐up of the initial Dutch subcutaneous implantable cardioverter‐defibrillator cohort: Long‐term complications, replacements, and battery longevity

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Why the study?

What are the long-term complication rates and battery longevity of the subcutaneous implantable cardioverter-defibrillator (S-ICD) over 6 years of follow-up?

Population

118 patients implanted with a subcutaneous implantable cardioverter-defibrillator between December 2008 and…

Design

Cohort

Follow-up

Median 6.1 years (IQR 5.6-6.5 years)

Authors

AQAnne‐Floor B.E. QuastVDVincent F. van DijkSYSing‐Chien Yap

Discussion

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Overview

Elective S-ICD generator replacement showed no complications in this early cohort; leaves open durability questions for contemporary devices and practice.

Structured PICO

What are the long-term complication rates and battery longevity of the subcutaneous implantable cardioverter-defibrillator (S-ICD) over 6 years of follow-up?

P
Population
118 patients implanted with a subcutaneous implantable cardioverter-defibrillator (S-ICD) between December 2008 and April 2011
I
Intervention
Subcutaneous implantable cardioverter-defibrillator (S-ICD)
O
Outcome
Complications requiring surgical intervention, generator replacements, and battery longevitysafety

The first-generation S-ICD demonstrates a low annual complication rate without lead failures or systemic infections over 6 years, though battery longevity necessitates relatively early generator replacement.

Cite This Study

Quast et al. (2018) studied this question.

synapsesocial.com/papers/6a76f034d2fa2470761e8717https://doi.org/10.1111/jce.13498
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Also Consider

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

  1. 1Long-Term Clinical Outcomes of Subcutaneous Versus Transvenous Implantable Defibrillator Therapy2016 · 179 citations
  2. 2Long-term complications, reoperations and survival following cardioverter-defibrillator implant2017 · 46 citations
  3. 3Suitability for subcutaneous defibrillator implantation: results based on data from routine clinical practice2013 · 46 citations
  4. 4Estimating the Risks and Benefits of Implantable Cardioverter Defibrillator Generator Replacement: A Systematic Review2016 · 30 citations
  5. 5The learning curve associated with the introduction of the subcutaneous implantable defibrillator2015 · 115 citations