Intermuscular technique for implantation of the subcutaneous implantable defibrillator: a propensity-matched case-control study.

ABSTRACT:

Aims

A previous randomized study demonstrated that the subcutaneous implantable cardioverter defibrillator (S-ICD) was noninferior to transvenous ICD with respect to device-related complications and inappropriate shocks. However, that was performed prior to the widespread adoption of pulse generator implantation in the intermuscular (IM) space instead of the traditional subcutaneous (SC) pocket. The aim of this analysis was to compare survival from device-related complications and inappropriate shocks between patients who underwent S-ICD implantation with the generator positioned in an IM position in comparison with an SC pocket.

Methods and results

We analysed 1577 consecutive patients who had undergone S-ICD implantation from 2013 to 2021 and were followed up until Decembe

SUBMITTER: Botto GL 

PROVIDER: S-EPMC10105850 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature