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| http://dx.doi.org/10.1016/s0972-6292(16)30751-3 | DOI Listing |
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Clinical Decision Making and Technical Approaches in Implantable Cardioverter-Defibrillator Procedures: A Step by Step Critical Appraisal of Literature.
Rev Cardiovasc Med
November 2024
Department of Cardiology, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
The selection of an appropriate implantable cardioverter-defibrillator (ICD) type and implantation strategy involves a myriad of considerations. While transvenous ICDs are standard, the rise of non-transvenous options like subcutaneous ICDs and extravascular ICDs is notable for their lower complication rates. Historical preferences for dual chamber ICDs have shifted to single-chamber ICDs.
View Article and Find Full Text PDFFeasibility, safety, and short-term follow-up of defibrillator lead at left bundle branch area pacing location: A pilot study.
Heart Rhythm
October 2024
Geisinger Heart Institute, Geisinger Commonwealth School of Medicine, Wilkes Barre, Pennsylvania.
Article Synopsis
- Left bundle branch area pacing (LBBAP) shows promise as a safe and effective alternative for cardiac resynchronization therapy (CRT) in patients with implantable cardioverter-defibrillators (ICD).
- A study assessed the feasibility and safety of a traditional defibrillator lead in the LBBAP location, finding a 62.5% acute procedural success rate with some patients needing lead repositioning.
- Follow-up results for an average of 3.8 months indicated stable pacing parameters with no inappropriate arrhythmia detection or therapy issues, supporting LBBAP as a viable option.*
Stepping back for good reasons: a reappraisal of the DF-1 connector for defibrillator leads.
Europace
March 2024
Department of Cardiology, University Hospital Geneva, Geneva, Switzerland.
The DF-4 defibrillator standard has been rapidly adopted due to its convenience at implantation. There are however trade-offs compared to the traditional DF-1 standard that are underappreciated. This viewpoint outlines the advantages and limitations of current defibrillator lead standards that should be kept in mind, as they impact the options that are available to deal with issues that may arise.
View Article and Find Full Text PDFInitial Experience With Intercostal Insertion of an Extravascular ICD Lead Compatible With Existing Pulse Generators.
Circ Arrhythm Electrophysiol
August 2023
Cardiovascular Department, Sanatorio Italiano, Asunción, Paraguay (A.E.).
Background: This study assessed safety and feasibility of a novel extravascular implantable cardioverter defibrillator (ICD) lead when inserted anteriorly through a rib space and connected to various commercially available ICD pulse generators (PGs) placed in either a left mid-axillary or left pectoral pocket. Currently available or investigational, extravascular-ICDs include a subcutaneous or subxiphoid lead connected to customized extravascular-ICD PGs.
Methods: This novel extravascular-ICD (AtaCor Medical Inc, San Clemente, CA) employs a unique intercostal implant technique and is designed to function with commercial DF-4 ICD PGs.
Identifying C1QB, ITGAM, and ITGB2 as potential diagnostic candidate genes for diabetic nephropathy using bioinformatics analysis.
PeerJ
June 2023
Department of Nephrology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Background: Diabetic nephropathy (DN), the most intractable complication in diabetes patients, can lead to proteinuria and progressive reduction of glomerular filtration rate (GFR), which seriously affects the quality of life of patients and is associated with high mortality. However, the lack of accurate key candidate genes makes diagnosis of DN very difficult. This study aimed to identify new potential candidate genes for DN using bioinformatics, and elucidated the mechanism of DN at the cellular transcriptional level.
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