Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share By
Clinical Outcomes of Subcutaneous Implantable Cardiac Defibrillator Implantation – Iran Sicd Registry Publisher Pubmed



Mehdinejadshani M1 ; Fallah H2 ; Kamali F1, 3 ; Alizadehdiz A1, 3 ; Eslami M4 ; Golabchi A5 ; Taherpour M6 ; Shahabi J7 ; Mollazadeh R4 ; Madadi S1, 3 ; Azhari A7 ; Sodagar A8 ; Eftekharzadeh M9 ; Oraii S9 Show All Authors
Authors
  1. Mehdinejadshani M1
  2. Fallah H2
  3. Kamali F1, 3
  4. Alizadehdiz A1, 3
  5. Eslami M4
  6. Golabchi A5
  7. Taherpour M6
  8. Shahabi J7
  9. Mollazadeh R4
  10. Madadi S1, 3
  11. Azhari A7
  12. Sodagar A8
  13. Eftekharzadeh M9
  14. Oraii S9
  15. Fazelifar A1, 3
  16. Kazemisaeed A10
  17. Ghorbanisharif A9
  18. Dalili M1, 3
  19. Khorgami M1, 3
  20. Heidaribakavoli A11
  21. Jorat M12
  22. Nikoo H13
  23. Kheirkhah J14
  24. Saravi M15
  25. Khodaparast M16
  26. Mirzaali M17
  27. Emkanjoo Z1, 3
  28. Mirmasoumi M9
  29. Sadeghian S18
  30. Mokhtari M19
  31. Hedayatigoudarzi M20
  32. Haghjoo M1, 3

Source: PACE - Pacing and Clinical Electrophysiology Published:2023


Abstract

Background: The subcutaneous implantable-defibrillator (S-ICD) is a relatively new alternative to the transvenous ICD system to minimize intravascular lead-related complications. This paper presents outcome of SICD implantation in patients enrolled in Iran S-ICD registry. 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. © 2023 Wiley Periodicals LLC.
Other Related Docs
6. A Case Report of Pacemaker Endocardial Lead Implantation After Senning Procedure, Journal of Mazandaran University of Medical Sciences (2021)