Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders

Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an un...
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Gespeichert in:

Autor*in:	Joseph Zakhar [verfasserIn] Thomas J. Blount [verfasserIn] Anil K. Gehi [verfasserIn] Sunita J. Ferns [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology

Übergeordnetes Werk:	In: Indian Pacing and Electrophysiology Journal - Elsevier, 2017, 20(2020), 5, Seite 189-192
Übergeordnetes Werk:	volume:20 ; year:2020 ; number:5 ; pages:189-192

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.ipej.2020.04.005

Katalog-ID:	DOAJ036369241

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520			\|a Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion.
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spelling	10.1016/j.ipej.2020.04.005 doi (DE-627)DOAJ036369241 (DE-599)DOAJ92b4e5e2265345c4b82906651e09c529 DE-627 ger DE-627 rakwb eng RC666-701 Joseph Zakhar verfasserin aut Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion. Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology Diseases of the circulatory (Cardiovascular) system Thomas J. Blount verfasserin aut Anil K. Gehi verfasserin aut Sunita J. Ferns verfasserin aut In Indian Pacing and Electrophysiology Journal Elsevier, 2017 20(2020), 5, Seite 189-192 (DE-627)372370632 (DE-600)2123606-9 09726292 nnns volume:20 year:2020 number:5 pages:189-192 https://doi.org/10.1016/j.ipej.2020.04.005 kostenfrei https://doaj.org/article/92b4e5e2265345c4b82906651e09c529 kostenfrei http://www.sciencedirect.com/science/article/pii/S0972629220300425 kostenfrei https://doaj.org/toc/0972-6292 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 5 189-192
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allfieldsGer	10.1016/j.ipej.2020.04.005 doi (DE-627)DOAJ036369241 (DE-599)DOAJ92b4e5e2265345c4b82906651e09c529 DE-627 ger DE-627 rakwb eng RC666-701 Joseph Zakhar verfasserin aut Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion. Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology Diseases of the circulatory (Cardiovascular) system Thomas J. Blount verfasserin aut Anil K. Gehi verfasserin aut Sunita J. Ferns verfasserin aut In Indian Pacing and Electrophysiology Journal Elsevier, 2017 20(2020), 5, Seite 189-192 (DE-627)372370632 (DE-600)2123606-9 09726292 nnns volume:20 year:2020 number:5 pages:189-192 https://doi.org/10.1016/j.ipej.2020.04.005 kostenfrei https://doaj.org/article/92b4e5e2265345c4b82906651e09c529 kostenfrei http://www.sciencedirect.com/science/article/pii/S0972629220300425 kostenfrei https://doaj.org/toc/0972-6292 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 5 189-192
allfieldsSound	10.1016/j.ipej.2020.04.005 doi (DE-627)DOAJ036369241 (DE-599)DOAJ92b4e5e2265345c4b82906651e09c529 DE-627 ger DE-627 rakwb eng RC666-701 Joseph Zakhar verfasserin aut Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion. Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology Diseases of the circulatory (Cardiovascular) system Thomas J. Blount verfasserin aut Anil K. Gehi verfasserin aut Sunita J. Ferns verfasserin aut In Indian Pacing and Electrophysiology Journal Elsevier, 2017 20(2020), 5, Seite 189-192 (DE-627)372370632 (DE-600)2123606-9 09726292 nnns volume:20 year:2020 number:5 pages:189-192 https://doi.org/10.1016/j.ipej.2020.04.005 kostenfrei https://doaj.org/article/92b4e5e2265345c4b82906651e09c529 kostenfrei http://www.sciencedirect.com/science/article/pii/S0972629220300425 kostenfrei https://doaj.org/toc/0972-6292 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 20 2020 5 189-192
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topic_facet	Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology Diseases of the circulatory (Cardiovascular) system
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callnumber-first	R - Medicine
author	Joseph Zakhar
spellingShingle	Joseph Zakhar misc RC666-701 misc Implantable loop recorder (ILR) misc Insertable cardiac monitor (ICM) misc Arrhythmia monitoring misc Device extrusion misc Pediatric electrophysiology misc Diseases of the circulatory (Cardiovascular) system Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders
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topic_title	RC666-701 Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders Implantable loop recorder (ILR) Insertable cardiac monitor (ICM) Arrhythmia monitoring Device extrusion Pediatric electrophysiology
topic	misc RC666-701 misc Implantable loop recorder (ILR) misc Insertable cardiac monitor (ICM) misc Arrhythmia monitoring misc Device extrusion misc Pediatric electrophysiology misc Diseases of the circulatory (Cardiovascular) system
topic_unstemmed	misc RC666-701 misc Implantable loop recorder (ILR) misc Insertable cardiac monitor (ICM) misc Arrhythmia monitoring misc Device extrusion misc Pediatric electrophysiology misc Diseases of the circulatory (Cardiovascular) system
topic_browse	misc RC666-701 misc Implantable loop recorder (ILR) misc Insertable cardiac monitor (ICM) misc Arrhythmia monitoring misc Device extrusion misc Pediatric electrophysiology misc Diseases of the circulatory (Cardiovascular) system
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title	Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders
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title_full	Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders
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journal	Indian Pacing and Electrophysiology Journal
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author_browse	Joseph Zakhar Thomas J. Blount Anil K. Gehi Sunita J. Ferns
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author-letter	Joseph Zakhar
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author2-role	verfasserin
title_sort	un-linqed: spontaneous extrusion of newer generation implantable loop recorders
callnumber	RC666-701
title_auth	Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders
abstract	Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion.
abstractGer	Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion.
abstract_unstemmed	Background: Insertable cardiac monitors (ICMs) are often used for long-term monitoring of cardiac rhythm. The Medtronic’s LINQ Reveal ™ is a new generation wireless, automated, and patient responsive subcutaneous ECG monitoring device. Despite several advantages to its small size we have noted an unusually high incidence of extrusion at our center. Methods: & Results: We conducted a retrospective case analysis to review Reveal LINQs implanted at our center. All devices were inserted using the provided insertion tools. Patients with extruded devices were identified and details regarding the site and technique of insertion, incision closure, use of peri-operative antibiotics, and follow-up details were collected. 81 patients underwent 85 Reveal LINQ implants at a tertiary care University Hospital referral center. The most common reason for implant was suspected arrhythmia with or without structural heart disease or unexplained syncope. There were 4 spontaneous extrusions occurring within 7–24 days after insertion with an incidence rate of 4.7%. One extruded device was anchored to subcutaneous tissue, and no pocket/device infections or hematomas were noted. Conclusions: Device migration and erosion through skin are important potential adverse events for the Reveal LINQ implantable loop recorder. This study reports an unexpectedly high rate of extrusion without infection. The authors suggest that the depth of the incision is the main factor impacting extrusions. Larger studies are recommended, however, and a proposed measure to avoid spontaneous extrusion is the design of a longer manufacturer’s blade in order to increase the depth of the incision and insertion.
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title_short	Un-LINQed: Spontaneous extrusion of newer generation implantable loop recorders
url	https://doi.org/10.1016/j.ipej.2020.04.005 https://doaj.org/article/92b4e5e2265345c4b82906651e09c529 http://www.sciencedirect.com/science/article/pii/S0972629220300425 https://doaj.org/toc/0972-6292
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author2	Thomas J. Blount Anil K. Gehi Sunita J. Ferns
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up_date	2024-07-03T20:12:15.017Z
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