The Subcutaneous ICD: A Review of the UNTOUCHED and PRAETORIAN Trials
| Autor: | Michael R. Gold, Ahmadreza Karimianpour, Leah John |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
inappropriate shocks
medicine.medical_specialty clinical trials Heart disease business.industry Electrophysiology and Ablation Limiting medicine.disease sudden cardiac death Sudden cardiac death Clinical trial Subcutaneous ICD Physiology (medical) RC666-701 defibrillators medicine Diseases of the circulatory (Cardiovascular) system Cardiology and Cardiovascular Medicine Complication business Intensive care medicine |
| Zdroj: | Arrhythmia & Electrophysiology Review, Vol 10, Iss 2, Pp 108-112 (2021) Arrhythmia & Electrophysiology Review |
| ISSN: | 2050-3369 2050-3377 |
| Popis: | The ICD is an important part of the treatment and prevention of sudden cardiac death in many high-risk populations. Traditional transvenous ICDs (TV-ICDs) are associated with certain short- and long- term risks. The subcutaneous ICD (S-ICD) was developed in order to avoid these risks and complications. However, this system is associated with its own set of limitations and complications. First, patient selection is important, as S-ICDs do not provide pacing therapy currently. Second, pre-procedural screening is important to minimise T wave and myopotential oversensing. Finally, until recently, the S-ICD was primarily used in younger patients with fewer co-morbidities and less structural heart disease, limiting the general applicability of the device. S-ICDs achieve excellent rates of arrhythmia conversion and have demonstrated noninferiority to TV-ICDs in terms of complication rates in real-world studies. The objective of this review is to discuss the latest literature, including the UNTOUCHED and PRAETORIAN trials, and to address the risk of inappropriate shocks. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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