Left Ventricular Assist Device Implantation in the Presence of Substernal Extravascular Implantable Cardioverter-Defibrillator
AbstractExtravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventiona...
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| Published in | JACC. Case reports Vol. 30; no. 13; p. 103508 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier
04.06.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2666-0849 2666-0849 |
| DOI | 10.1016/j.jaccas.2025.103508 |
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| Abstract | AbstractExtravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventional transvenous leads. However, their combination with a left ventricular assist device (LVAD) is often challenging. Electromagnetic interference generated by the LVAD may affect previously implanted cardioverter-defibrillators, particularly subcutaneous extravascular devices. To our knowledge, this is the first reported experience of the concomitant use of an extravascular implantable cardioverter-defibrillator with a durable LVAD. |
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| AbstractList | Extravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventional transvenous leads. However, their combination with a left ventricular assist device (LVAD) is often challenging. Electromagnetic interference generated by the LVAD may affect previously implanted cardioverter-defibrillators, particularly subcutaneous extravascular devices. To our knowledge, this is the first reported experience of the concomitant use of an extravascular implantable cardioverter-defibrillator with a durable LVAD.Extravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventional transvenous leads. However, their combination with a left ventricular assist device (LVAD) is often challenging. Electromagnetic interference generated by the LVAD may affect previously implanted cardioverter-defibrillators, particularly subcutaneous extravascular devices. To our knowledge, this is the first reported experience of the concomitant use of an extravascular implantable cardioverter-defibrillator with a durable LVAD. Extravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventional transvenous leads. However, their combination with a left ventricular assist device (LVAD) is often challenging. Electromagnetic interference generated by the LVAD may affect previously implanted cardioverter-defibrillators, particularly subcutaneous extravascular devices. To our knowledge, this is the first reported experience of the concomitant use of an extravascular implantable cardioverter-defibrillator with a durable LVAD. AbstractExtravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as subcutaneous and substernal implantable cardioverter-defibrillators, were designed to avoid the possible complications of conventional transvenous leads. However, their combination with a left ventricular assist device (LVAD) is often challenging. Electromagnetic interference generated by the LVAD may affect previously implanted cardioverter-defibrillators, particularly subcutaneous extravascular devices. To our knowledge, this is the first reported experience of the concomitant use of an extravascular implantable cardioverter-defibrillator with a durable LVAD. |
| ArticleNumber | 103508 |
| Author | Németh, Endre, MD, PhD Papp, Roland, MD Jermendy, Ádám Levente, MD, PhD Merkely, Béla, MD, DSc Zima, Endre, MD, DSc Sax, Balázs, MD, PhD Hartyánszky, István, MD, PhD Molnár, Levente, MD Straub, Éva, MD Czimbalmos, Csilla, MD, PhD |
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| Cites_doi | 10.1016/j.jacc.2022.01.017 10.1161/CIR.0000000000000673 10.1161/CIRCEP.113.000113 10.1093/eurheartj/ehac496 10.1111/pace.12240 10.1016/j.ijcard.2024.131807 10.1056/NEJMoa2206485 10.1161/JAHA.117.007691 |
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| Keywords | computed tomography EMI ventricular fibrillation EV-ICD substernal extravascular implantable cardioverter-defibrillator systolic heart failure LVEF transvenous implantable cardioverter-defibrillator ICD subcutaneous implantable cardioverter-defibrillator LVAD left ventricular ejection fraction VF CT ventricular tachycardia electromagnetic interference S-ICD TV-ICD cardiac assist devices extravascular implantable cardioverter-defibrillator left ventricular assist device implantable cardioverter-defibrillator VT |
| Language | English |
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| References | López-Gil (10.1016/j.jaccas.2025.103508_bib3) 2019; 3 Koneru (10.1016/j.jaccas.2025.103508_bib1) 2018; 7 Nakahara (10.1016/j.jaccas.2025.103508_bib7) 2013; 6 Knops (10.1016/j.jaccas.2025.103508_bib10) 2022; 43 Riaz (10.1016/j.jaccas.2025.103508_bib8) 2014; 37 Friedman (10.1016/j.jaccas.2025.103508_bib5) 2022; 387 Gopinathannair (10.1016/j.jaccas.2025.103508_bib9) 2019; 139 Migliore (10.1016/j.jaccas.2025.103508_bib4) 2024; 400 Varshney (10.1016/j.jaccas.2025.103508_bib6) 2022; 79 Rordorf (10.1016/j.jaccas.2025.103508_bib2) 2022; 11 |
| References_xml | – volume: 79 start-page: 1092 issue: 11 year: 2022 ident: 10.1016/j.jaccas.2025.103508_bib6 article-title: Trends and outcomes of left ventricular assist device therapy publication-title: J Am Coll Cardiol doi: 10.1016/j.jacc.2022.01.017 – volume: 139 start-page: e967 issue: 20 year: 2019 ident: 10.1016/j.jaccas.2025.103508_bib9 article-title: Device therapy and arrhythmia management in left ventricular assist device recipients: a scientific statement from the American Heart Association publication-title: Circulation doi: 10.1161/CIR.0000000000000673 – volume: 6 start-page: 648 issue: 3 year: 2013 ident: 10.1016/j.jaccas.2025.103508_bib7 article-title: Ventricular arrhythmias after left ventricular assist device publication-title: Circ Arrhythm Electrophysiol doi: 10.1161/CIRCEP.113.000113 – volume: 11 issue: suppl 1 year: 2022 ident: 10.1016/j.jaccas.2025.103508_bib2 article-title: The ATLAS randomised clinical trial: what do the superiority results mean for subcutaneous ICD therapy and sudden cardiac death prevention as a whole? publication-title: Arrhythm Electrophysiol Rev – volume: 43 start-page: 4872 issue: 47 year: 2022 ident: 10.1016/j.jaccas.2025.103508_bib10 article-title: Device-related complications in subcutaneous versus transvenous ICD: a secondary analysis of the PRAETORIAN trial publication-title: Eur Heart J doi: 10.1093/eurheartj/ehac496 – volume: 37 start-page: 225 issue: 2 year: 2014 ident: 10.1016/j.jaccas.2025.103508_bib8 article-title: Cardiovascular implantable electronic device infections in left ventricular assist device recipients publication-title: Pacing Clin Electrophysiol doi: 10.1111/pace.12240 – volume: 400 year: 2024 ident: 10.1016/j.jaccas.2025.103508_bib4 article-title: Left ventricular assist device in the presence of subcutaneous implantable cardioverter defibrillator: data from a multicenter experience publication-title: Int J Cardiol doi: 10.1016/j.ijcard.2024.131807 – volume: 387 start-page: 1292 issue: 14 year: 2022 ident: 10.1016/j.jaccas.2025.103508_bib5 article-title: Efficacy and safety of an extravascular implantable cardioverter-defibrillator publication-title: N Engl J Med doi: 10.1056/NEJMoa2206485 – volume: 3 issue: 2 year: 2019 ident: 10.1016/j.jaccas.2025.103508_bib3 article-title: Subcutaneous implantable cardioverter defibrillators in patients with left ventricular assist devices: case report and comprehensive review publication-title: Eur Heart J Case Rep – volume: 7 issue: 10 year: 2018 ident: 10.1016/j.jaccas.2025.103508_bib1 article-title: Risk factors and temporal trends of complications associated with transvenous implantable cardiac defibrillator leads publication-title: J Am Heart Assoc doi: 10.1161/JAHA.117.007691 |
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| Snippet | AbstractExtravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices,... Extravascular implantable cardioverter-defibrillator is a recently developed substernal system to prevent sudden cardiac death. Extravascular devices, such as... |
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| SubjectTerms | Cardiovascular Heart Failure and Cardiomyopathies |
| Title | Left Ventricular Assist Device Implantation in the Presence of Substernal Extravascular Implantable Cardioverter-Defibrillator |
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