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Clinical Decision Making and Technical Approaches in Implantable Cardioverter-Defibrillator Procedures: A Step by Step Critical Appraisal of Literature.

Authors :
Roseboom E
Smit MD
Groenveld HF
Rienstra M
Maass AH
Source :
Reviews in cardiovascular medicine [Rev Cardiovasc Med] 2024 Nov 18; Vol. 25 (11), pp. 403. Date of Electronic Publication: 2024 Nov 18 (Print Publication: 2024).
Publication Year :
2024

Abstract

The selection of an appropriate implantable cardioverter-defibrillator (ICD) type and implantation strategy involves a myriad of considerations. While transvenous ICDs are standard, the rise of non-transvenous options like subcutaneous ICDs and extravascular ICDs is notable for their lower complication rates. Historical preferences for dual chamber ICDs have shifted to single-chamber ICDs. Single-coil ICDs are preferred for easier extraction, and the use of the DF-4 connector is generally recommended. Cephalic cutdown is the preferred venous access technique, while axillary vein puncture is a viable alternative. The right ventricular apex remains the preferred lead position until further evidence on conduction system pacing emerges. Left-sided, subcutaneous ICD implantation is considered reliable, contingent on specific cases. A meticulous perioperative plan, including antibiotic prophylaxis and an antithrombotic regimen, is crucial for successful implantation.<br />Competing Interests: The authors declare no conflict of interest. Alexander H. Maass is serving as Guest Editor of this journal. We declare that Alexander H. Maass had no involvement in the peer review of this article and has no access to information regarding its peer review. Full responsibility for the editorial process for this article was delegated to Matteo Bertini.<br /> (Copyright: © 2024 The Author(s). Published by IMR Press.)

Details

Language :
English
ISSN :
2153-8174
Volume :
25
Issue :
11
Database :
MEDLINE
Journal :
Reviews in cardiovascular medicine
Publication Type :
Academic Journal
Accession number :
39618862
Full Text :
https://doi.org/10.31083/j.rcm2511403