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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing

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"Are CRT upgrade procedures more complex and associated with more complications than de novo CRT implantations?" A

I A H Ter Horst1, Y Kuijpers2, J van 't Sant3

  • 1Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA, Utrecht, The Netherlands. i.a.h.terhorst@umcutrecht.nl.

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation
|December 9, 2015
PubMed

Insights

Cardiac resynchronisation therapy (CRT) upgrades are as safe and straightforward as new CRT device implantations. This study found no significant differences in complexity or complication rates between the two procedures.

Area of Science:

  • Cardiology
  • Medical Devices
  • Electrophysiology

Background:

  • Cardiac resynchronisation therapy (CRT) is a vital treatment for heart failure.
  • Understanding the safety and complexity of CRT device procedures is crucial for patient care.
  • Comparing upgrade procedures to de novo implantations provides insights into procedural risks.

Purpose of the Study:

  • To determine if cardiac resynchronisation therapy (CRT) upgrade procedures are more complex than de novo implantations.
  • To evaluate whether CRT upgrade procedures are associated with a higher complication rate compared to de novo implantations.

Main Methods:

  • A retrospective comparison of 134 CRT upgrade procedures with an equal number of de novo CRT implantations.
  • Analysis of procedural data, including duration, radiation, and hospitalization.
  • Assessment of periprocedural (≤30 days) and long-term (≤1 year) device-related complications.

Main Results:

  • No significant differences were observed in procedure duration, radiation time, or hospitalization between upgrade and de novo groups.
  • Perioperative complication rates were similar: 6.7% for upgrades versus 9.0% for de novo implantations.
  • Long-term device-related complications with consequences were also comparable: 3.5% for upgrades versus 4.9% for de novo implantations.

Conclusions:

  • Cardiac resynchronisation therapy (CRT) upgrade procedures are not more complex than de novo implantations.
  • The complication rates for CRT upgrades are similar to those of de novo CRT device implantations.
  • These findings support the safety and feasibility of CRT device upgrades.
Abstract

Keywords:
CRTComplicationUpgrade

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