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March 26, 2014European Heart JournalOpen Access

Worldwide experience with a totally subcutaneous implantable defibrillator: early results from the EFFORTLESS S-ICD Registry

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Why the study?

Does the totally subcutaneous implantable-defibrillator (S-ICD) provide safe and effective therapy in patients requiring an ICD?

Population

472 patients with S-ICD implants, mean age 49 ± 18 years, 72% male, mean LVEF 42%, international cohort.

Design

Cohort

Follow-up

mean 558 days (median 498 days)

Authors

PLPier D. LambiaseCBCraig BarrRKReinoud E. Knops

Discussion

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Overview

Supports S-ICD safety and efficacy in real-world registry; extends observational data but leaves open need for randomized confirmation.

Structured PICO

Does the totally subcutaneous implantable-defibrillator (S-ICD) provide safe and effective therapy in patients requiring an ICD?

P
Population
472 patients with S-ICD implants, mean age 49 ± 18 years, 72% male, mean LVEF 42%, international cohort.
I
Intervention
Totally subcutaneous implantable-defibrillator (S-ICD)
O
Outcome
Long-term system-related, clinical, and patient reported outcomes including complication-free rates, shock efficacy, and inappropriate shock ratessafety

The S-ICD demonstrates appropriate system performance, efficacy, and safety comparable to conventional ICDs in a real-world international registry.

Cite This Study

Lambiase et al. (2014) studied this question.

synapsesocial.com/papers/6a80fe442002b893ba22bebbhttps://doi.org/10.1093/eurheartj/ehu112
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Also Consider

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

  1. 1Evaluation oF FactORs ImpacTing CLinical Outcome and Cost EffectiveneSS of the S‐ICD: Design and Rationale of the EFFORTLESS S‐ICD Registry2012 · 43 citations
  2. 2Predictors of Short-Term Complications After Implantable Cardioverter-Defibrillator Replacement2011 · 167 citations
  3. 3Clinical Impact, Safety, and Efficacy of Single‐ versus Dual‐Coil ICD Leads in MADIT‐CRT2013 · 44 citations
  4. 4Termination of Malignant Ventricular Arrhythmias with an Implanted Automatic Defibrillator in Human Beings1980 · 1,366 citations
  5. 5Annual Rate of Transvenous Defibrillation Lead Defects in Implantable Cardioverter-Defibrillators Over a Period of >10 Years2007 · 636 citations