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Complications and Mortality of Single Versus Dual Chamber Implantable Cardioverter Defibrillators

Bagherzadeh, Ataallah and Emkanjoo, Zahra and Haghjoo, Majid and Farahani, Maryam Moshkani and Alizadeh, Abolfath and Sadr-Ameli, Mohammad Ali (2006) Complications and Mortality of Single Versus Dual Chamber Implantable Cardioverter Defibrillators. [Journal (Paginated)]

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Abstract

Background: The implantable cardioverter defibrillators (ICDs) are increasingly being used as a treatment modality for life threatening tachyarrhythmia. The purpose of this study was to compare the frequency of complications and mortality between single-chamber and dual-chamber ICD implantation in Shahid Rajaie cardiovascular center. Methods and results: Between January 2000 and December 2004, 234 patients received ICD by a percutaneous transvenous approach and were followed for 33 ± 23 months. The cumulative incidence of complications was 9.4% over the follow-up period. There was no significant difference in overall complication rate between single chamber (VR) and dual chamber (DR) ICD groups in the follow-up period (P= 0.11). The risk of complications did not have any statistically significant difference in secondary versus primary prevention groups (P=0.06). The complications were not associated with the severity of left ventricular systolic dysfunction (P=0.16).The frequency of lead-related complications was higher in dual chamber ICDs in comparison with single chamber ICDs (P=0.02). There was no significant difference in mortality between different sex groups (P=0.37), different indications for ICD implantation (P=0.43) or between VR and DR ICD groups (P= 0.55). Predictors of mortality were NYHA class III or more (P<0.001), age >65 years (P=0.011) and LVEF<30% (P<0.001). The mortality in patients with CAD and DCM were significantly higher than those with other structural heart diseases (P=0.001). Conclusions: Close monitoring of patients during the first 2 month after ICD implantation is recommended because the majority of complications occur early after the procedure.

Item Type:Journal (Paginated)
Keywords:implantable cardioverter-defibrillator; complication; mortality
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4800
Deposited By: Indian Pacing and Electrophysiology, Journal
Deposited On:01 Apr 2006
Last Modified:11 Mar 2011 08:56

References in Article

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1. Zipes DP, Roberts D. The Pacemaker Cardioverter Defibrillator Investigators. Results of the international study of the implantable pacemaker cardioverter defibrillator: a comparison of epicardial and endocardial lead systems. Circulation 1995; 92:59-65.

2. Stambler BS, Wood MA, Damiano RJ. Sensing/pacing lead complications with a newer generation implantable cardioverter defibrillator: World wide experience the Guardian ATP 4210 clinical trial. J AM Coll Cardiol; 23:123-32.

3. Bardy GH, Johnson G, Poole JE, et al. A simplified, single lead unipolar transvenous cardioversion-defibrillation system. Circulation 1993; 88: 543-547.

4. Bardy GH, Yee R, Jung W. for the active can investigators. Multicenter experience with a pectoral unipolar implantable cardioverter defibrillator. J Am Coll Cardiol 1996; 28: 400-410.

5. The Antiarrhythmic Versus Implantable Defibrillator (AVID) investigators. A comparison of anti arrhythmic drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. N Eng J Med 1997; 337:1576-1583.

6. Gradatus R, Block M, Brachmann J , et al. Mortality, Morbidity and complications in 3334 patients with implantable cardioverter- defibrillators. PACE 2003; 26: 1511-1518.

7. Kron J, Herre J, Renfroe EG, et al. Lead and device-related complications in the Antiarrhythmics Versus Implantable Defibrillators Trial. Am Heart J 2001; 141:92-8.

8. Connolly SJ, Gent M, Roberts RS, et al., for the CIDS investigators. Canadian Implantable Defibrillator Study (CIDS): A randomized trial of implantable cardioverter defibrillator against Amiodarone. Circulation 2000; 101:1297-1302.

9. Gold MR, Peters RW, Johnson JW, et al. Complications associated with pectoral implantation of Cardioverter Defibrillators. PACE 1997; 20: 208-211.

10. Witte J, Bondke HJ. The incidence of pacemaker pocket complications depending on pulse generator size and shape- conclusion for defibrillator therapy. PACE 1995; 18:1793.

11. Grimm W, Menz N, Hoffmann J. Complications of third generation implantable cardioverter defibrillator therapy. PACE 1999; 22: 206-11.

12. Rosenqvist M, Beyer T, Block M, European 7219 Jewel ICD investigators. Adverse events with transvenous implantable cardioverter- defibrillators: a prospective multicenter study. Circulation 1998; 98:663-70.

13. Nunain SO, Roelke M; Trouton T. Limitations and late complications of third generation automatic cardioverter- defibrillators. Circulation 1995; 19: 2204-13.

14. Pacifico A, Wheelan KR, Nasir N Jr. Long term follow-up of cardioverter defibrillator implanted under conscious sedation in prepectoral subfacial position. Circulation 1997; 95: 946-950.

15. Brooks R, Garan H, Torchiana D. Three-year outcome of a non-thoracotomy approach to cardioverter defibrillator implantation in 189 consecutive patients. Am J Cardiol 1994; 74: 1011-5.

16. Strickberger SA, Hummel JD, Daoud E. Implantation by electrophysiologists of 100 consecutive cardioverter Defibrillators with nonthoracotomy lead systems. Circulation 1994; 90:868-72.

17. Schwartzman D, Nallamothu N, Callans DJ. Postoperative lead-related complications in patients with nonthoracotomy defibrillation systems. Am J Cardiol 1995; 26:776-86.

18. Kuch KH, Cappata R, Siebels J, et al. Randomized comparison of antiarrhythmic drug therapy with implantable defibrillators in patients resuscitated from cardiac arrest: The Cardiac Arrest Study Hamburg (CASH). Circulation 2000; 102:748-754.

19. Noseworthy PA, Lashevsky I, Dorian P, et al. Feasibility of implantatable Cardioverter Defibrillator use in elderly patients. PACE 2004; 24:373-378.

20. Gupta S, Prevel CD, Shaheen K, et al. Wound complication s and treatment of the infected implantable Cardioverter Defibrillator generator. J Card Surg 1993; 8:671-7.

21. Wunderly RG, Maloney J, Edel T, et al. Infections in implantable Cardioverter Defibrillator patients. PACE 1990; 13: 1360-4.

22. Hauser RG, Kurschinski DT, Mcveigh K, et al. Clinical results with nonthoracotomy ICD systems. PACE 1993; 16: 141-148.

23. Byrd CL. Clinical experience with the extrathoracic introducer insertion technique. PACE 1993; 16:1781-4.

24. Parsonnet V, Roelke M. The cephalic vein cut down versus subclavian puncture for pacemaker/ICD lead implantation. PACE 1999; 22:695-7.

25. Kettering K, Mewis C, Dornberger V, et al. Long term experience with subclavian ICD leads: A comparison among three different types of subclavian leads. PACE 2004; 27: 1355-1361.

26. Glikson M, Lipchenca I, Viskin S, et al. Long term outcome of patients who received implantable cardioverter-defibrillators for stable ventricular tachycardia. J Cardiovasc Electrophysiol, 2004; 15: 658-664.

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