scholarly journals Implantable Cardiac Device Procedures in Older Patients

2010 ◽  
Vol 170 (7) ◽  
Author(s):  
Jason P. Swindle ◽  
Michael W. Rich ◽  
Patrick McCann ◽  
Thomas E. Burroughs ◽  
Paul J. Hauptman
Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Brian C Mac Grory ◽  
Paul D Ziegler ◽  
Sean Landman ◽  
Amador Delamerced ◽  
Anusha Boyanpally ◽  
...  

Introduction: Central retinal artery occlusion (CRAO) is a form of ischemic stroke and necessitates a comprehensive workup, including for cardioembolic sources such as atrial fibrillation (AF). However, the incidence of new AF diagnosed after CRAO is unknown. We aimed to examine the incidence of new, cardiac device-detected AF after CRAO in a large population-based cohort. Methods: Using patient-level data from the Optum® de-identified EHR dataset (2007-2017) linked with Medtronic implantable cardiac device data, we identified patients that had a diagnosis-code corresponding to CRAO and no known history of AF, and who also had either a device in-situ at the time of CRAO or implanted ≤1 year post-CRAO with continuous AF monitoring data available. AF incidence was defined as ≥2 minutes of device-detected AF in a day. Results: Of 467,167 patients screened, 246/433 (56.8%) with CRAO had no history of AF, of whom 39 had an eligible implantable cardiac device (mean age 66.7±14.8, 41.0% female). Prevalence of vascular risk factors was high (hypertension, 71.8%; hyperlipidemia, 61.5%; coronary artery disease, 46.2%). Within 3 months, 7.7% of these patients (n=3) had device-detected AF. At 36 months, 33.3% of patients (n=13). The maximum daily AF burden post CRAO ranged from 2 minutes to 24 hours with a mean of 390±530 minutes. Of the patients with device-detected AF, 9 were found by an implantable cardiac monitor and 4 by pacemaker or defibrillator. Discussion: The rate of long-term AF detection after CRAO was high in patients with implanted cardiac devices, and appears comparable with rates seen after cryptogenic ischemic stroke and in other high-risk populations. Our findings warrant future prospective studies not limited by selection bias.


2017 ◽  
Vol 08 (04) ◽  
pp. e1-e1
Author(s):  
Carly Daley ◽  
Elizabeth Chen ◽  
Amelia Roebuck ◽  
Romisa Ghahari ◽  
Areej Sami ◽  
...  

2014 ◽  
Vol 13 (1) ◽  
pp. 6-8 ◽  
Author(s):  
James F. Neuenschwander ◽  
Brian C. Hiestand ◽  
W. Frank Peacock ◽  
John M. Billings ◽  
Cole Sondrup ◽  
...  

EP Europace ◽  
2014 ◽  
Vol 16 (suppl 3) ◽  
pp. iii29-iii29
Author(s):  
R. W. Bowers ◽  
S. Iacovides ◽  
W. M. S. Foster ◽  
R. N. Balasubramaniam ◽  
S. M. Sopher ◽  
...  

2005 ◽  
Vol 28 (12) ◽  
pp. 1276-1281 ◽  
Author(s):  
JIMMY DY CHUA ◽  
AHMAD ABDUL-KARIM ◽  
STEVEN MAWHORTER ◽  
GARY W. PROCOP ◽  
PATRICK TCHOU ◽  
...  

2020 ◽  

We present a novel minimally invasive percutaneous approach for the surgical treatment of tricuspid valve infective endocarditis. In this case, the patient presented with a malfunctioning implantable cardiac device, right ventricle implantable cardiac device lead infection, and infective endocarditis of the tricuspid valve. The infective endocarditis vegetations were removed via a percutaneous approach using the AngioVac suction device. The device was modified by the surgeon, who sutured 2 threads to the head of the device in order to allow adjustments to be made to the angle of suction by applying tension on the suture. Real-time visualization of the procedure was achieved via transesophageal echocardiography. This approach, utilizing the AngioVac device, is a feasible and effective treatment strategy for endocarditis vegetation removal in selected patients who would otherwise be unsuitable candidates for open heart surgery.


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