Factors influencing the use of subcutaneous or transvenous implantable cardioverter-defibrillators: results of the European Heart Rhythm Association prospective survey
Why the study?
What factors influence the choice between subcutaneous and transvenous implantable cardioverter-defibrillators in European tertiary centres?
Population
429 consecutive patients implanted with an implantable cardioverter-defibrillator across 20 tertiary…
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
Informs individualized ICD selection by age and pacing needs in Europe; leaves open prospective outcome validation.
Structured PICO
What factors influence the choice between subcutaneous and transvenous implantable cardioverter-defibrillators in European tertiary centres?
P
Population
429 consecutive patients implanted with an implantable cardioverter-defibrillator (ICD) (both TV-ICD and S-ICD) across 20 tertiary European centres during an 8-week period, 76.3% men, 73% primary prevention indication.
I
Intervention
Implantation of subcutaneous implantable cardioverter-defibrillator (S-ICD) or transvenous implantable cardioverter-defibrillator (TV-ICD)
O
Outcome
Factors influencing patient selection for the implantation of a particular type of device (S-ICD vs TV-ICD)
The choice between S-ICD and TV-ICD in European practice is primarily driven by patient age and infection/lead risks favoring S-ICD, versus the need for pacing or CRT favoring TV-ICD.
Cite This Study
Bovéda et al. (2018) studied this question.