Implantation-Related Complications of Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy Devices: A Systematic Review of Randomized Clinical Trials
The number of implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy (CRT) implantations is increasing drastically worldwide, and hence, the number of implanting centers is also increasing. Despite abundant data on the beneficial effect of these devices, little is known r...
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| Veröffentlicht in: | Journal of the American College of Cardiology 2011-08, Vol.58 (10), p.995-1000 |
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| container_title | Journal of the American College of Cardiology |
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| creator | VAN REES, Johannes B DE BIE, Mihaly K THIJSSEN, Joep BORLEFFS, C. Jan Willem SCHALIJ, Martin J ERVEN, Lieselot Van |
| description | The number of implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy (CRT) implantations is increasing drastically worldwide, and hence, the number of implanting centers is also increasing. Despite abundant data on the beneficial effect of these devices, little is known regarding safety and complication rates. Eleven ICD and 7 CRT trials were systematically reviewed to provide data on the frequency of in-hospital mortality and complications related to the implantation. Average in-hospital mortality was 2.7% in trials using both thoracotomy and nonthoracotomy ICDs, 0.2% in trials using nonthoracotomy ICDs, and 0.3% in CRT trials. The pneumothorax rate was similar between the nonthoracotomy ICD and CRT trials (0.9%) Coronary sinus complications occurred in 2.0% of patients undergoing CRT. Lead dislodgement rates were higher in CRT trials (5.7%) than in nonthoracotomy ICD trials (1.8%). |
| doi_str_mv | 10.1016/j.jacc.2011.06.007 |
| format | Article |
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Jan Willem ; SCHALIJ, Martin J ; ERVEN, Lieselot Van</creator><creatorcontrib>VAN REES, Johannes B ; DE BIE, Mihaly K ; THIJSSEN, Joep ; BORLEFFS, C. Jan Willem ; SCHALIJ, Martin J ; ERVEN, Lieselot Van</creatorcontrib><description>The number of implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy (CRT) implantations is increasing drastically worldwide, and hence, the number of implanting centers is also increasing. Despite abundant data on the beneficial effect of these devices, little is known regarding safety and complication rates. Eleven ICD and 7 CRT trials were systematically reviewed to provide data on the frequency of in-hospital mortality and complications related to the implantation. Average in-hospital mortality was 2.7% in trials using both thoracotomy and nonthoracotomy ICDs, 0.2% in trials using nonthoracotomy ICDs, and 0.3% in CRT trials. The pneumothorax rate was similar between the nonthoracotomy ICD and CRT trials (0.9%) Coronary sinus complications occurred in 2.0% of patients undergoing CRT. Lead dislodgement rates were higher in CRT trials (5.7%) than in nonthoracotomy ICD trials (1.8%).</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2011.06.007</identifier><identifier>PMID: 21867832</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Biological and medical sciences ; Cardiac Resynchronization Therapy Devices ; Cardiology ; Cardiology. Vascular system ; Clinical trials ; Defibrillators, Implantable ; Dissection ; Heart attacks ; Hospitals ; Humans ; Medical sciences ; Medicare ; Mortality ; Ostomy ; Postoperative Complications - epidemiology ; Prosthesis Implantation - adverse effects ; Prosthesis Implantation - mortality ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Randomized Controlled Trials as Topic ; Studies ; Veins & arteries</subject><ispartof>Journal of the American College of Cardiology, 2011-08, Vol.58 (10), p.995-1000</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. 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Jan Willem</creatorcontrib><creatorcontrib>SCHALIJ, Martin J</creatorcontrib><creatorcontrib>ERVEN, Lieselot Van</creatorcontrib><title>Implantation-Related Complications of Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy Devices: A Systematic Review of Randomized Clinical Trials</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>The number of implantable cardioverter-defibrillator (ICD) and cardiac resynchronization therapy (CRT) implantations is increasing drastically worldwide, and hence, the number of implanting centers is also increasing. Despite abundant data on the beneficial effect of these devices, little is known regarding safety and complication rates. Eleven ICD and 7 CRT trials were systematically reviewed to provide data on the frequency of in-hospital mortality and complications related to the implantation. Average in-hospital mortality was 2.7% in trials using both thoracotomy and nonthoracotomy ICDs, 0.2% in trials using nonthoracotomy ICDs, and 0.3% in CRT trials. The pneumothorax rate was similar between the nonthoracotomy ICD and CRT trials (0.9%) Coronary sinus complications occurred in 2.0% of patients undergoing CRT. Lead dislodgement rates were higher in CRT trials (5.7%) than in nonthoracotomy ICD trials (1.8%).</description><subject>Biological and medical sciences</subject><subject>Cardiac Resynchronization Therapy Devices</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Clinical trials</subject><subject>Defibrillators, Implantable</subject><subject>Dissection</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Medicare</subject><subject>Mortality</subject><subject>Ostomy</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prosthesis Implantation - adverse effects</subject><subject>Prosthesis Implantation - mortality</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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| subjects | Biological and medical sciences Cardiac Resynchronization Therapy Devices Cardiology Cardiology. Vascular system Clinical trials Defibrillators, Implantable Dissection Heart attacks Hospitals Humans Medical sciences Medicare Mortality Ostomy Postoperative Complications - epidemiology Prosthesis Implantation - adverse effects Prosthesis Implantation - mortality Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Randomized Controlled Trials as Topic Studies Veins & arteries |
| title | Implantation-Related Complications of Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy Devices: A Systematic Review of Randomized Clinical Trials |
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