Subcutaneous implantable cardioverter defibrillator: early experience
Rev. bras. cir. cardiovasc
;
32(6): 498-502, Nov.-Dec. 2017. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-897968
ABSTRACT
Abstract Introduction:
The implantable cardioverter defibrillator had been increasing the survival of patients at high risk for sudden cardiac death. The subcutaneous implantable cardioverter defibrillator was developed to mitigate the complications inherent to lead placement into cardiovascular system.Objective:
To report the initial experience of 18 consecutive cases of subcutaneous implantable cardioverter defibrillator implantation showing the indications, potential pitfalls and perioperative complications.Methods:
Between September 2016 and March 2017, 18 patients with indication for primary and secondary prevention of sudden cardiac death, with no concomitant indication for artificial cardiac pacing, were included.Results:
The implantation of the subcutaneous implantable cardioverter defibrillator successfully performed in 18 patients. It was difficult to place the subcutaneous lead at the parasternal line in two patients. One patient returned a week after the procedure complaining about an increase in pain intensity at pulse generator pocket site, which was associated with edema, temperature rising and hyperemia. Two patients took antialgic medication for five days after surgery. A reintervention was necessary in one patient to replace the lead in order to correct inappropriate shocks caused by myopotential oversensing.Conclusion:
In our initial experience, although the subcutaneous implantable cardioverter defibrillator implantation is a less-invasive, simple-accomplishment procedure, it resulted in a bloodier surgery perhaps requiring an operative care different from the conventional. Inappropriate shock by oversensing is a reality in this system, which should be overcame in order not to become a limiting issue for its indication.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Fibrilación Ventricular
/
Cardioversión Eléctrica
/
Estimulación Cardíaca Artificial
/
Muerte Súbita Cardíaca
/
Desfibriladores Implantables
/
Prevención Secundaria
Tipo de estudio:
Estudio de etiología
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Asunto de la revista:
Cardiología
/
Cirugía General
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Instituto de Arritmias Cardíacas (IAC)/BR
Similares
MEDLINE
...
LILACS
LIS