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Assessing the safety of implantable cardioverter-defibrillator reuse-A retrospective case-control study

Bogdan Enache1,2, Raluca Șoșdean1,2, Răzvan Macarie2

  • 1University of Medicine and Pharmacy "Victor Babes" Timisoara, Timisoara, Romania.

Pacing and Clinical Electrophysiology : PACE
|June 15, 2019
PubMed

Insights

Properly resterilized implantable cardioverter-defibrillators (ICDs) are as safe as new devices, showing no significant difference in infection or malfunction rates. This finding has significant humanitarian and financial implications due to the high cost of new ICDs.

Area of Science:

  • Cardiovascular Medicine
  • Biomedical Engineering
  • Infectious Disease

Background:

  • Pacemaker reuse is well-established, but safety data for implantable cardioverter-defibrillators (ICDs) is limited.
  • Previous research on reused ICD safety is scarce, necessitating further investigation.
  • High costs of new ICDs prompt exploration of safe reuse options.

Purpose of the Study:

  • To evaluate the safety of resterilized implantable cardioverter-defibrillators (ICDs) compared to new devices.
  • To assess infection and device malfunction rates in patients receiving new versus reused ICDs.
  • To determine if reused ICDs are a safe alternative to new devices.

Main Methods:

  • A study included 271 patients receiving new or reused ICDs between 2001 and 2012.
  • Complications were defined as infections requiring reintervention, device malfunction, or premature battery depletion.
  • Statistical analysis compared complication rates between the new and reused ICD groups.

Main Results:

  • Complication rates were 4.38% for new ICDs and 1.91% for reused ICDs.
  • The difference in complication rates was not statistically significant (P = .18).
  • No significant difference was found in infection or malfunction rates between the two groups.

Conclusions:

  • Properly verified and resterilized ICDs are as safe as new devices regarding infection and malfunction.
  • The safe reuse of ICDs presents significant humanitarian and financial benefits.
  • Further research supports the safe and cost-effective use of reused ICDs.
Abstract

Keywords:
device infectiondevice malfunctionimplantable cardioverter-defibrillator reuseresterilization

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