keyword
https://read.qxmd.com/read/36245347/current-evidence-of-ultrasound-guided-fascial-plane-blocks-for-cardiac-surgery-a-narrative-literature-review
#21
REVIEW
Boohwi Hong, Chahyun Oh, Yumin Jo, Soomin Lee, Seyeon Park, Yoon-Hee Kim
Fascial plane blocks are useful for multimodal analgesia after cardiac surgery since they can provide effective analgesia without the serious risks associated with conventional techniques such as neuraxial hematoma and pneumothorax. This narrative review covers blocks performed at the parasternal intercostal, interpectoral, pectoserratus, serratus anterior, erector spinae, and retrolaminar planes, which are targets for fascial plane blocks in cardiac surgery. Brief anatomical considerations, mechanisms, and currently available evidence are reviewed...
December 2022: Korean Journal of Anesthesiology
https://read.qxmd.com/read/35955057/real-life-inter-rater-variability-of-the-praetorian-score-values
#22
JOURNAL ARTICLE
Szymon Budrejko, Maciej Kempa, Wojciech Krupa, Tomasz Królak, Tomasz Fabiszak, Grzegorz Raczak
(1) Background: The PRAETORIAN score is a tool developed for postoperative evaluation of the position of subcutaneous implantable cardioverter-defibrillator systems. The aim of our study was to evaluate the real-life inter-rater variability of the PRAETORIAN score, based on chest radiographs of S-ICD patients reviewed by independent clinical raters. (2) Methods: Postoperative chest X-rays of patients that underwent S-ICD implantation were evaluated by five clinical raters who gave values of the PRAETORIAN score...
August 6, 2022: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/35835888/transvenous-or-subcutaneous-implantable-cardioverter-defibrillator-a-review-to-aid-decision-making
#23
JOURNAL ARTICLE
Milena Leo, Alexander J Sharp, Andre Briosa E Gala, Michael T B Pope, Timothy R Betts
The implantable cardioverter-defibrillator (ICD) is a proven treatment for preventing sudden cardiac death. Transvenous leads are associated with significant mortality and morbidity, and the subcutaneous ICD (S-ICD) addresses this. However, it is not without limitations, in particular the absence of anti-tachycardia pacing. The decision of which device is most suitable for an individual patient is often complex. Here, we review the relative merits and weaknesses of both the transvenous and S-ICD. We summarise the available evidence for each device in particular patient cohorts, namely: ischaemic and non-ischaemic cardiomyopathy, idiopathic ventricular fibrillation, Brugada syndrome, long QT syndrome, arrhythmogenic right ventricular cardiomyopathy, and hypertrophic cardiomyopathy...
July 14, 2022: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://read.qxmd.com/read/35781834/-electromagnetic-interference-pacemakers-cardiac-resynchronization-therapy-devices-implantable-cardioverter-defibrillator
#24
REVIEW
Bernd Nowak, Oliver Przibille, Andreas Napp
Patients with cardiac pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy devices (CRT) are exposed to different types of electromagnetic interference (EMI) at home and at work. Due to the constantly increasing role of electrically active appliances in daily use and the introduction of new therapy concepts such as the leadless cardiac pacemaker and the subcutaneous defibrillator, this topic is of great relevance. The further development of the implanted devices and the almost complete use of bipolar leads has reduced the overall risk of EMI...
July 4, 2022: Herzschrittmachertherapie & Elektrophysiologie
https://read.qxmd.com/read/35656975/subcutaneous-versus-transvenous-implantable-defibrillator-therapy-a-systematic-review-and-meta-analysis-of-randomized-trials-and-propensity-score-matched-studies
#25
REVIEW
Khi Yung Fong, Colin Jun Rong Ng, Yue Wang, Colin Yeo, Vern Hsen Tan
Background Subcutaneous implantable cardioverter-defibrillators (S-ICDs) have been of great interest as an alternative to transvenous implantable cardioverter-defibrillators (TV-ICDs). No meta-analyses synthesizing data from high-quality studies have yet been published. Methods and Results An electronic literature search was conducted to retrieve randomized controlled trials or propensity score-matched studies comparing S-ICD against TV-ICD in patients with an implantable cardioverter-defibrillator indication...
June 7, 2022: Journal of the American Heart Association
https://read.qxmd.com/read/35639806/air-entrapment-as-a-potential-cause-of-early-subcutaneous-implantable-cardioverter-defibrillator-malfunction-a-systematic-review-of-the-literature
#26
JOURNAL ARTICLE
Hussam Ali, Pierpaolo Lupo, Sara Foresti, Guido De Ambroggi, Carmine De Lucia, Diego Penela, Dario Turturiello, Edoardo Maria Paganini, Riccardo Cappato
AIMS: Air entrapment (AE) has been reported as a potential cause of early inappropriate shocks (ISs) following subcutaneous implantable cardioverter defibrillator (S-ICD) implantation, but a cause-effect relationship is not always evident. This systematic review aims to analyse this phenomenon concerning implantation techniques, electrogram (EGM) features, radiologic findings, and patient management. METHODS AND RESULTS: A systematic search was conducted using PubMed, Embase, and Google Scholar databases following the PRISMA guidelines to obtain all available literature data since 2010 on S-ICD malfunctions possibly due to AE...
March 25, 2022: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/35639275/subcutaneous-and-transvenous-icds-an-update-on-contemporary-questions-and-controversies
#27
REVIEW
Daniel J Friedman, Albert S Tully, Emily P Zeitler
PURPOSE OF REVIEW: While the subcutaneous (S-) implantable cardioverter-defibrillator (ICDs) is an alternative to the transvenous (TV-) ICD in many patients, optimal use remains unclear. In this review, we summarize recent clinically relevant data on sensing algorithms, inappropriate shocks, defibrillation testing, and battery and electrode failures. RECENT FINDINGS: Changes in sensing algorithms and S-ICD programming have significantly decreased inappropriate shock rates...
August 2022: Current Cardiology Reports
https://read.qxmd.com/read/35419669/management-of-atrial-fibrillation-two-decades-of-progress-a-scientific-statement-from-the-european-cardiac-arrhythmia-society
#28
REVIEW
Samuel Lévy, Gerhard Steinbeck, Luca Santini, Michael Nabauer, Diego Penela Maceda, Bharat K Kantharia, Sanjeev Saksena, Riccardo Cappato
BACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice. The aim of this review was to evaluate the progress made in the management of AF over the two last decades. RESULTS: Clinical classification of AF is usually based on the presence of symptoms, the duration of AF episodes and their possible recurrence over time, although incidental diagnosis is not uncommon. The majority of patients with AF have associated cardiovascular diseases and more recently the recognition of modifiable risk factors both cardiovascular and non-cardiovascular which should be considered in its management...
October 2022: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
https://read.qxmd.com/read/35387142/a-real-world-experience-of-subcutaneous-and-transvenous-implantable-cardiac-defibrillators-comparison-with-the-praetorian-study
#29
JOURNAL ARTICLE
Dibbendhu Khanra, Abdul Hamid, Peysh Patel, John Tomson, Ahmed Abdalla, Nasrin Khan, Rory Dowd, Nakul Chandan, Christopher Osagie, Tomilola Jinadu, Selvakumar Velu, Anita Arya, Charles Spencer, Craig Barr, Sanjiv Petkar
Background: PRAETORIAN is the first randomized controlled trial that demonstrated the noninferiority of subcutaneous ICD (S-ICD) in comparison with transvenous ICD (TV-ICD). We retrospectively reviewed electronic records of patients with ICD implanted over the past 6 years, with the primary objective to compare our real-world single tertiary center experience with the randomized data from the PRAETORIAN study. Methods: Seventy S-ICD patients were compared with 197 TV-ICD patients, from July 2014 to June 2020 retrospectively, over a median period of 1304 days (296-2451 days)...
April 2022: Journal of Arrhythmia
https://read.qxmd.com/read/35124184/evolution-of-devices-to-prevent-sudden-cardiac-death-contemporary-clinical-impacts
#30
REVIEW
François Philippon, Guillaume Domain, Jean-François Sarrazin, Isabelle Nault, Gilles O'Hara, Jean Champagne, Christian Steinberg
Implantable cardioverter defibrillators (ICDs) are recommended for primary and secondary prevention of sudden cardiac death and were first implanted more than 40 years ago. The addition of cardiac resynchronization improved outcomes in the heart failure population and is now an important part of optimized therapy for this population. In this review, we will address patient selection, risk stratification, and outcomes after ICD placement and technological improvements. Gender disparities in referral and outcomes will be discussed...
April 2022: Canadian Journal of Cardiology
https://read.qxmd.com/read/35038698/emerging-technologies-in-electrophysiology-from-single-chamber-to-biventricular-leadless-pacemakers
#31
REVIEW
Jashan Gill
BACKGROUND: Transvenous pacemakers have been shown to improve quality of life and mortality in patients with bradycardia and cardiac conduction blocks. However, they possess inevitable drawbacks as they have a relatively high incidence of lead and device pocket-related complications. Therefore, leadless pacemakers have emerged as a solution to reduce the complications seen with conventional pacemakers. However, there have been no clinical trials to date comparing transvenous to leadless pacemakers...
2022: Cardiology
https://read.qxmd.com/read/34879809/efficacy-and-complications-of-subcutaneous-versus-conventional-cardioverter-defibrillators-a-systematic-review-and-meta-analysis
#32
JOURNAL ARTICLE
Camilla Silva Araújo, Carla Liz Barbosa Silva, Antônio da Silva Menezes Júnior, Vinícius Araújo Barbosa, Tiago de Almeida Laranjeira, Joaquim Ferreira Fernandes, Lucas Cândido Gonçalves, Antonio Márcio Cordeiro Silva
BACKGROUND/OBJECTIVES: Implantable cardioverter defibrillators are used to prevent sudden cardiac death. The subcutaneous implantable cardioverter defibrillator was newly developed to overcome the limitations of the conventional implantable cardioverter defibrillator-transvenous device. The subcutaneous implantable cardioverter defibrillator is indicated for young patients with heart disease, congenital heart defects, and poor venous access, who have an indication for implantable cardioverter defibrillator without the need for anti-bradycardic stimulation...
December 7, 2021: Current Cardiology Reviews
https://read.qxmd.com/read/34801615/comparative-assessment-of-transvenous-versus-subcutaneous-implantable-cardioverter-defibrillator-therapy-outcomes-an-updated-systematic-review-and-meta-analysis
#33
JOURNAL ARTICLE
Nso Nso, Mahmoud Nassar, Sofia Lakhdar, Sostanie Enoru, Laura Guzman, Vincent Rizzo, Most S Munira, Farshid Radparvar, Senthil Thambidorai
BACKGROUND: Subcutaneous (S-ICD) and transvenous (TV-ICD) implantable cardioverter-defibrillator devices effectively reduce the incidence of sudden cardiac death in patients at a high risk of ventricular arrhythmias. This study aimed to evaluate the safe replacement of TV-ICD with S-ICD based on updated recent evidence. METHODS: We systematically searched EMBASE, JSTOR, PubMed/MEDLINE, and Cochrane Library on 30 July 2021 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines...
February 15, 2022: International Journal of Cardiology
https://read.qxmd.com/read/34751802/non-transvenous-icd-therapy-current-status-and-beyond
#34
REVIEW
Vincent F van Dijk, Lucas V A Boersma
Subcutaneous implantable cardioverter/defibrillators (S-ICDs) have been developed to offer ICD treatment to patients without venous access to the heart and to overcome complications associated with transvenous leads, particularly lead fracture/insulation defects and endocarditis. Several studies and registries have demonstrated the feasibility and safety of S‑ICD in different groups of patients. Further developments in S‑ICD technology involve the combination with devices that can provide anti-bradycardia and anti-tachycardia pacing if needed...
December 2021: Herz
https://read.qxmd.com/read/34554620/a-10-j-shock-impedance-in-sinus-rhythm-correlates-with-a-65-j-defibrillation-impedance-during-subcutaneous-defibrillator-implantation-using-an-intermuscular-technique
#35
JOURNAL ARTICLE
Toshimasa Okabe, Salvatore J Savona, Faisal Matto, Chad Ward, Prabhpreet Singh, Muhammad R Afzal, Steven J Kalbfleisch, Raul Weiss, Mahmoud Houmsse, Ralph S Augostini, John D Hummel, Emile G Daoud
INTRODUCTION: Defibrillation testing (DT) is recommended during the subcutaneous defibrillator (S-ICD) placement. We sought to compare 10 J shock impedance in sinus rhythm (SR) with 65 J defibrillation impedance and evaluate device position on a postimplant chest X-ray (CXR) using an intermuscular (IM) technique. METHODS: Consecutive S-ICD implantations between 12/2019 and 12/2020 at The Ohio State University were reviewed. All implantations were performed using a two-incision IM technique...
November 2021: Journal of Cardiovascular Electrophysiology
https://read.qxmd.com/read/34472707/an-up-to-date-review-of-cardiac-pacemakers-and-implantable-cardioverter-defibrillators
#36
REVIEW
Ronny Jd Kuang, Janu Pirakalathanan, Theodore Lau, Daniel Koh, Emily Kotschet, Brian Ko, Kenneth K Lau
Cardiac pacemakers are one of the most frequently encountered cardiac devices seen on chest imaging. They may include single or dual chamber pacemakers, automated implantable cardioverter defibrillators (AICD), biventricular pacemakers used for cardiac resynchronisation therapy (CRT), wireless CRT, leadless pacemakers, and subcutaneous implantable cardioverter defibrillators (SICD). This review aims to provide an up-to-date review on current implantable pacemaker and defibrillator devices.
December 2021: Journal of Medical Imaging and Radiation Oncology
https://read.qxmd.com/read/34453529/non-traditional-implantable-cardioverter-defibrillator-configurations-and-insertion-techniques-a-review-of-contemporary-options
#37
REVIEW
Johanna B Tonko, Christopher A Rinaldi
Implantable cardioverter-defibrillators (ICDs) have revolutionized the treatment of acquired or inherited cardiac diseases associated with a high risk of sudden cardiac death due to ventricular tachyarrhythmias. Contemporary ICD devices offer reliable arrhythmia detection and discrimination algorithms and deliver highly efficient tachytherapies. Percutaneously inserted transvenous defibrillator coils with pectoral generator placement are the first-line approach in the majority of adults due to their extensively documented clinical benefit and efficiency with comparably low periprocedural implantation risks as well as the option of providing pain-free tachycardia treatment via anti-tachycardia pacing (ATP), concomitant bradycardiaprotection, and incorporation in a cardiac resynchronization therapy if indicated...
February 2, 2022: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/34401183/the-subcutaneous-icd-a-review-of-the-untouched-and-praetorian-trials
#38
REVIEW
Ahmadreza Karimianpour, Leah John, Michael R Gold
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...
July 2021: Arrhythmia & Electrophysiology Review
https://read.qxmd.com/read/34311985/shock-without-wires-a-look-at-subcutaneous-implantable-cardioverter-defibrillator-compared-to-transvenous-implantable-cardioverter-defibrillator-for-ventricular-arrhythmias
#39
REVIEW
Joel Raja, Kenneth Guice, Mansi Oberoi, Samantha Whitwell, Abdul Aziz Asbeutah, Alex Russell, Rami N Khouzam
Sudden cardiac death is a major cause of cardiovascular mortality in the United States with 250,000-450,000 deaths annually. Transvenous Implantable Cardioverter-Defibrillator (ICD) has been conventionally used for both primary and secondary prevention of ventricular tachycardia or fibrillation (VT/VF). It is also associated with a high risk of complications like hemothorax, pneumothorax, cardiac tamponade, lead failure, and increased risk for infections. Subcutaneous ICD (S-ICD) poses as a viable alternative with reduced chances of complications...
September 2022: Current Problems in Cardiology
https://read.qxmd.com/read/34309699/-current-applications-of-hypnosis-in-the-field-of-cardiac-electrophysiology
#40
REVIEW
Matthias Lerche, Alireza Sepehri Shamloo, Gerhard Hindricks
With a growing acceptance of clinical hypnosis in medicine, new fields of application are being explored. Data from recent studies support the use of hypnosis for pain management during procedures, such as ablation of arrhythmias and implantation of subcutaneous implantable cardioverter defibrillators, management of preoperative anxiety and reduction of postoperative atrial fibrillation. The aim of this review article is to summarize the findings of investigations showing the application of hypnosis in the field of cardiac electrophysiology, to review the rationale for the efficacy of hypnosis in management of cardiac arrhythmias and to highlight possible future directions in clinical applications and scientific perspectives...
July 26, 2021: Herz
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