Real-time technical support for guiding remotely ICD/CRT-D implantation

Area of Science:

• Cardiology
• Medical Technology
• Telemedicine

Background:

• Technical support for implantable cardioverter/defibrillators (ICD) and cardiac resynchronization therapy defibrillators (CRT-D) is limited by field clinical specialist (FCS) availability and cost.
• Geographical and pandemic-related barriers can hinder access to specialized technical support.

Purpose of the Study:

• To explore the viability of remote support via an internet-based platform for ICD and CRT-D implantation procedures.
• To assess the efficiency and effectiveness of telemedicine in overcoming logistical challenges for device implantation.

Main Methods:

• A study involving thirty patients undergoing ICD/CRT-D implantation at two cardiac care centers.
• Procedures were divided into two arms: ten cases guided remotely and twenty cases with on-site FCS support.
• Preclinical phases were completed before patient enrollment.

Main Results:

• All procedures (100%) were successfully completed in both remote and on-site groups.
• Procedural time was significantly shorter in the telemedicine group (P=0.031).
• No major adverse events were reported in either group.

Conclusions:

• Remotely supported ICD and CRT-D implantation procedures are feasible.
• Telemedicine offers a viable solution to enhance efficiency and accessibility for device implantation procedures.