Complications in Device Therapy: Spectrum, Prevalence, and Management

Area of Science:

• Cardiology
• Biomedical Engineering

Background:

• Cardiac implantable electronic device (CIED) implants are increasing due to wider indications and an aging population.
• Device therapy complications contribute significantly to patient mortality and morbidity.

Purpose of the Study:

• To review complications associated with cardiac device therapy.
• To discuss strategies for minimizing and managing these complications.

Main Methods:

• Literature review of recent publications and consensus documents.
• Analysis of advances in device technologies.

Main Results:

• Guidelines for appropriate CIED selection and optimal implantation techniques are available.
• New device technologies offer alternatives for high-risk patients.
• Adherence to guidelines, training, and surgical technique are crucial.

Conclusions:

• Minimizing CIED complications requires adherence to guidelines, proper training, and skilled implantation.
• Advances in technology and careful patient selection can improve device therapy outcomes.