Duration of hospital admission, need of on-demand analgesia and other peri-procedural and short-term outcomes in sub-cutaneous vs. transvenous implantable cardioverter–defibrillators
Résumé
Background Post-procedural recovery following sub-cutaneous ICD (S-ICD) implantation is feared to be more painful and to require more prolonged hospital admission. The purpose of this study was to compare peri-procedural and short clinical outcomes of the S-ICD vs. the Transvenous ICD (TV-ICD). Methods We conducted a single-center cross-sectional study including all consecutive patients who underwent S-ICD implantation by the same operator since January 2016 and a gender and age-matched control group with all single chamber TV-ICD implanted patients over a contemporary time period. Results Thirty-one patients (sex ratio 1/5; mean age 58.7 ± 13.2 years) with S-ICD were compared to 31 matched TV-ICD patients. Duration of the implant procedure was significantly longer for the S-ICD (58.0 ± 24.4 min vs 41.7 ± 20.8 min TV-ICD, p < 0.01). Mean fluoroscopy time for the TV-ICD was 3.5 ± 3.6 min vs 0.1 ± 0.01 min for all S-ICD patients (p < 0.01). Requirement of on-demand analgesia administration, and duration of hospitalization (1.5 days for both groups; p = NS) were similar in the two groups. No peri-procedural events were reported, and after a mean follow-up of 6 months, the only complication was a pocket infection requiring reintervention in the TV-ICD group. Conclusions The S-ICD appears to be as effective and safe as the conventional single chamber TV-ICD. Duration of hospital admission and need of on-demand analgesia are also comparable for S-ICD patients. © 2017 Elsevier Ireland Ltd
Mots clés
Aged
Analgesia
Anesthesia
General
Cross-Sectional Studies
Defibrillators
Implantable
Electric Countershock
Female
Follow-Up Studies
Humans
Male
Middle Aged
Patient Admission
Subcutaneous Tissue
Time Factors
Treatment Outcome
Subcutaneous
Implantable Defibrillator
Transvenous ICD
pain assessment
duration of hospitalization
short term clinical outcomes
matched comparison
Domaines
Sciences du Vivant [q-bio]
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