Clinical outcomes of subcutaneous implantable cardiac defibrillator implantation - Iran SICD registry.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Mehdinejadshani Mahdiye, Fallah Hamidreza, Kamali Farzad, Alizadeh-Diz Abolfath, Eslami Masoud, Golabchi Allahyar, Taherpour Mehdi, Shahabi Javad, Mollazadeh Reza, Madadi Shabnam, Azhari Amir, Sodagar Abdolhossein, Eftekharzadeh Mahmoud, Oraii Saeed, Fazelifar Amirfarjam, Kazemisaeed Ali, Ghorbanisharif Alireza, Dalili Mohammad, Khorgami Mohammadrafie, Heidari-Bakavoli Alireaza, Jorat Mohammadvahid, Nikoo Hossein, Kheirkhah Jalal, Saravi Mehrdad, Khodaparast Morteza, Mirzaali Mansour, Emkanjoo Zahra, Mirmasoumi Mehrdad, Sadeghian Saeed, Mokhtari Meisam, Hedayati-Goudarzi Mohammadtaghi, Haghjoo Majid
Аннотация
METHODS: Between October 2015 and June 2022, this prospective multicenter national registry included 223 patients with a standard indication for an ICD, who neither required bradycardia pacing nor needed cardiac resynchronization to evaluate the early post-implant complications and long-term follow-up results of the S-ICD system.
RESULTS: The mean age of the patients was 45 ± 17 years. The majority (79.4%) were male. Ischemic cardiomyopathy (39.5%) was the most common underlying disorder among patients selected for S-ICD implant. Most study patients (68.6%) had ICD for primary prevention of sudden cardiac death. Seven patients (3.1%) were found to have suboptimal lead positions. Six patients (2.7%) developed a pocket hematoma; all were managed medically. During a mean follow-up of 2 years, the appropriate therapy was recorded in 13% of the patients and inappropriate ICD intervention mainly due to supraventricular tachycardia in 8.9%. Pocket infection was observed in four patients (1.8%) and five patients (2.2%) died mainly due to heart failure.
CONCLUSION: S-ICDs were effective at detecting and treating both induced and spontaneous ventricular arrhythmias. Major clinical complications were rare.