Ultrasound utilization for implantation of cardiac implantable electronic devices

Abstract

SummaryUltrasound (US) guidance for implantation of cardiac implantable electronic devices (CIED) is currently not routine practice. This article sought to review published data on the use of ultrasound in each of the major surgical steps involved in implantation of CIEDs, including achieving anesthesia, obtaining venous access and implantation of leads. A literature review was performed, revealing a total of 20 peer-reviewed studies that assessed US guidance for CIED implantation; 3 of these were randomized trials while the remainder were mostly feasibility studies. The available data suggest that ultrasound can be useful in guiding implantation of CIEDs, with a trend towards less complication rates; however, more high-quality studies that compare US guidance to traditional techniques in CIED implantation are required.

A qualitative study on patients’ and health care professionals’ perspectives regarding care delivered during CIED operation

“…Cardiac implantable electronic devices(CIEDs) is a term that encompasses a number of devices that provide a treatment of bradyarrhythmias, ventricular tachyarrhythmias, and advanced systolic heart failure [ 1 , 2 ]. It has proven to be an invaluable tool in the practice of cardiology, and implantation rates continue to rise, with more than 600,000 CIEDs practiced each year [ 3 ].…”