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[Problems and complications after implantation of automatic defibrillators]
H J Trappe1, H Klein, H G Fieguth
1Abteilung Kardiologie, Medizinische Hochschule Hannover.
Medizinische Klinik (Munich, Germany : 1983)
|November 15, 1993
Summary
Complications from implantable cardioverter-defibrillators (ICDs) are infrequent but serious. This study of 295 patients found low rates of infection, lead issues, and inappropriate shocks, emphasizing the need for prompt diagnosis and treatment.
Area of Science:
- Cardiology
- Medical Devices
- Clinical Research
Context:
- Few reports exist on automatic implantable cardioverter-defibrillator (ICD) complications.
- Understanding ICD therapy outcomes is crucial for patient care.
Purpose:
- To investigate the follow-up and complications in 295 patients undergoing ICD therapy.
- To analyze the incidence and types of complications associated with epicardial and transvenous ICD systems.
Summary:
- The study followed 295 patients with ICDs (206 epicardial, 89 transvenous).
- Complications included infections (6%), lead issues (5%), and inappropriate shocks (8%).
- Explantation or partial removal was necessary in some cases, highlighting the need for careful management.
Impact:
- ICD-related complications, though low, can be severe and require timely intervention.
- Findings contribute to the understanding of ICD safety profiles.
- Data supports the importance of appropriate diagnosis and treatment strategies for ICD complications.