Electronic Resource
Trends in adoption of extravascular cardiac implantable electronic devices:the Dutch cohort
| العنوان: | Trends in adoption of extravascular cardiac implantable electronic devices:the Dutch cohort |
|---|---|
| المؤلفون: | Breeman, Karel T. N., Knops, Reinoud E., van der Stoel, Michelle D., Boersma, Lucas V. A., Yap, Sing-Chien, van Erven, Lieselot, van Dijk, Vincent F., Maass, Alexander H., Wilde, Arthur A. M., Tjong, Fleur V. Y. |
| المصدر: | Breeman , K T N , Knops , R E , Device Registration Comm Netherlands Heart Registration , van der Stoel , M D , Boersma , L V A , Yap , S-C , van Erven , L , van Dijk , V F , Maass , A H , Wilde , A A M & Tjong , F V Y 2024 , ' Trends in adoption of extravascular cardiac implantable electronic devices : the Dutch cohort ' , Netherlands Heart Journal . |
| بيانات النشر: | 2024-08-19 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Introduction: Conventional implantable cardioverter-defibrillators (ICDs) and pacemakers carry a risk of pocket- and lead-related complications in particular. To avoid these complications, extravascular devices (EVDs) have been developed, such as the subcutaneous ICD (S-ICD) and leadless pacemaker (LP). However, data on patient or centre characteristics related to the actual adoption of EVDs are lacking. Objective: To assess real-world nationwide trends in EVD adoption in the Netherlands. Methods: Using the Netherlands Heart Registration, all consecutive patients with a de novo S‑ICD or conventional single-chamber ICD implantation between 2012–2020, or de novo LP or conventional single-chamber pacemaker implantation between 2014–2020 were included. Trends in adoption are described for various patient and centre characteristics. Result: From 2012–2020, 2190 S‑ICDs and 10,683 conventional ICDs were implanted; from 2014–2020, 712 LPs and 11,103 conventional pacemakers were implanted. The general use has increased (S-ICDs 8 to 21%; LPs 1 to 8%), but this increase seems to have reached a plateau. S‑ICD recipients were younger than conventional ICD recipients (p < 0.001) and more often female (p < 0.001); LP recipients were younger than conventional pacemaker recipients (p < 0.001) and more often male (p = 0.03). Both S‑ICDs and LPs were mainly implanted in high-volume centres with cardiothoracic surgery on-site, although over time S‑ICDs were increasingly implanted in centres without cardiothoracic surgery (p < 0.001). Conclusion: This nationwide study demonstrated a relatively quick adoption of innovative EVDs with a plateau after approximately 4 years. S‑ICD use is especially high in younger patients. EVDs are mainly implanted in high-volume centres with cardiothoracic surgery back-up, but S‑ICD use is expanding beyond those centres. |
| مصطلحات الفهرس: | article |
| URL: | |
| الاتاحة: | Open access content. Open access content info:eu-repo/semantics/openAccess |
| ملاحظة: | application/pdf English |
| Other Numbers: | QGQ oai:pure.eur.nl:publications/2dbef52d-79a3-4b58-9b3d-9220dce78028 https://pure.eur.nl/en/publications/2dbef52d-79a3-4b58-9b3d-9220dce78028 https://doi.org/10.1007/s12471-024-01892-6 https://pure.eur.nl/ws/files/166731862/s12471-024-01892-6.pdf 1456741706 |
| المصدر المساهم: | ERASMUS UNIVERSITEIT ROTTERDAM From OAIster®, provided by the OCLC Cooperative. |
| رقم الانضمام: | edsoai.on1456741706 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |