A Comparison of Right Ventricular Non-apical Defibrillator Lead Position with Traditional Right Ventricular Apical Position: A Single Centre Experience

Kaye, G.; Eng, L.; Hunt, Benjamin J.; Dauber, K.; Hill, J.; Gould, Paul A.

doi:10.1016/j.hlc.2014.08.008

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…Основными местами позиционирования электродов являются апикальная и септальная позиции, при этом часть исследователей [10,11] отдают предпочтение апикальному расположению. По данным C. Gerald et al [12], размещение электрода в септальной позиции имеет эффективность, схожую с эффективностью при апикальном размещении. Недавно проведенный метаанализ [13] 4 РКИ не выявил существенных различий по времени выполнения процедуры установки КД, адекватных/неадекватных шоковых разрядов и смертности между пациентами с шоковыми электродами, имплантированными в апикальном и неапикальном положениях.…”

Section: выбор икд и позиционирования электродовunclassified

Implantable cardioverter defibrillators for the prevention of sudden cardiac death: technical aspects and future perspectives. What a practitioner needs to know?

Talibullin¹,

Lebedeva²,

Parfenov³

et al. 2022

Russian Medical Inquiry

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Currently, the prevention of sudden cardiac death (SCD) is an urgent issue as never, i.e., more than a half of patients with cardiovascular disorders die suddenly, one third of patients are young and middle-aged adults. The primary preventive strategy of SCD is an implantable cardioverter defibrillator (ICD) due to the lack of highly effective and, more important, safe antiarrhythmics. Forty years after the first ICD insertion, SCD is still the cause of more than 5 million of deaths annually worldwide. Therefore, a real need for ICD is significantly higher than the number of insertions. Meanwhile, primary physicians are not aware of this preventive tool. This paper reviews current approaches to ICD use for the primary and secondary prevention of SCD, types of ICDs, selection of electrode insertion sites, relevant aspects of ICD programming to detect and addresses arrhythmias by antitachycardial pacing or shock discharge, standards for outpatient follow-up after ICD insertion, distant monitoring and telemetry, and future perspectives of ICD insertion. KEYWORDS: sudden cardiac death, implantable cardioverter defibrillator, distant monitoring, perspectives. FOR CITATION: Talibullin I.V., Lebedeva N.B., Parfenov P.G., Mamchur S.E. Implantable cardioverter defibrillators for the prevention of sudden cardiac death: technical aspects and future perspectives. What a practitioner needs to know? Russian Medical Inquiry. 2022;6(1):21– 25 (in Russ.). DOI: 10.32364/2587-6821-2022-6-1-21-25.

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Section: выбор икд и позиционирования электродовunclassified

Implantable cardioverter defibrillators for the prevention of sudden cardiac death: technical aspects and future perspectives. What a practitioner needs to know?

Talibullin¹,

Lebedeva²,

Parfenov³

et al. 2022

Russian Medical Inquiry

View full text Add to dashboard Cite

show abstract

“…Часть исследователей отдают предпочтение апикальной стимуляции [9]. По данным Gerald C, et al, расположение электрода в септальной позиции имеет схожую эффективность [10]. В настоящее время имплантацию ИКД выполняют, ориентируясь на интраоперационные критерии: порог стимуляции (ПС) менее 1,0 В и амплитуда желудочкового сигнала (АЖС) более 5,0 мВ.…”

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A new approach in cardioverter-defibrillator implantation in patients with coronary artery disease

et al. 2019

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Aim.Defibrillation lead implantation technique optimization using cardiac scintigraphy in patients with coronary artery disease (CAD).Material and methods.In this study 81 patients (male — 72, age 64,0±8,7 years with CAD and indications for the cardioverter-defibrillator (ICD) implantation were examined. Patients were divided into two groups. In 1-st group before ICD implantation, patients underwent cardiac 99mTc-methoxy-isobutyl-isonitrile scintigraphy for right ventricle wall perfusion disorders assessment. In this group defibrillating lead was implanted to the septal position, if the perfusion disorders were in the apical segments, and to the apical position, if perfusion disorders were in the septal segment. In 2-nd group lead was implanted using conventional approach. Defibrillating lead parameters (threshold, sense, impedance and shock impedance on 1-st, 7-th, 30-th and 180-th follow-up days) were compared.Results.The 1-st group consisted of 45 (55,5%) patients (male — 41, age 62,2±8,8 years). In 28 (62,2%) cases in this group defibrillating lead was implanted to the apical and in 17 (37,8%) — to the septal position. The 2-nd group consisted of 36 (44,5%) patients (male — 31, age 66,3±8,2 years; p=0,03). In 20 (55,5%) cases in this group defibrillating lead was implanted to the septal and in 16 (44,5%) — to the apical position. There were significant differences between groups in terms of: threshold and sense at all follow-up days (p=0,0001) and impedance on 1-st (p=0,003), 30-th (p=0,0001) and 180-th day (p=0,002), respectively.Conclusion.Assessment of right ventricular perfusion before ICD implantation can reduce threshold and raise sense, thereby prolong the ICD longevity and improve life-threatening ventricular tachyarrhythmia detection in the early and long-term period in patients with CAD.

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A Comparison of Right Ventricular Non-apical Defibrillator Lead Position with Traditional Right Ventricular Apical Position: A Single Centre Experience

Cited by 2 publications

References 32 publications

Implantable cardioverter defibrillators for the prevention of sudden cardiac death: technical aspects and future perspectives. What a practitioner needs to know?

Implantable cardioverter defibrillators for the prevention of sudden cardiac death: technical aspects and future perspectives. What a practitioner needs to know?

A new approach in cardioverter-defibrillator implantation in patients with coronary artery disease

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