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Optimizing S-ICD Implant and Replacement

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Optimizing S-ICD Implant and Replacement

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Questions and Answers

What is the primary objective of optimizing S-ICD system location during implantation?

To ensure best patient outcome (correct)

To ensure a faster implantation process

To increase the complexity of the implantation process

To reduce the cost of the procedure

What is the primary consideration for S-ICD device placement in patients with high BMI?

Intermuscular placement

Submuscular placement

Latissimus Dorsi placement

Subcutaneous placement (correct)

Which of the following is a common challenge in S-ICD implantation?

Both high and low BMI patients (correct)

Neither high nor low BMI patients

Low BMI patients

High BMI patients

What is the purpose of the PRAETORIAN Score in S-ICD implantation?

To predict the risk of complications Signup and view all the answers

What is the recommended approach for suboptimal S-ICD placements?

To discuss tips and tricks with an expert physician Signup and view all the answers

What is the main benefit of using the S-ICD system?

Improved patient outcome Signup and view all the answers

What is the primary purpose of checking system impedance prior to defibrillation testing?

To determine the optimal location of the subcutaneous electrode and S-ICD pulse generator Signup and view all the answers

What does a system impedance value of > 400 ohms typically indicate?

The S-ICD electrode is not fully inserted into the header or is fractured Signup and view all the answers

What is the optimal range for high voltage shock impedance?

90 ohms Signup and view all the answers

What is the purpose of the Praetorian score?

To predict defibrillation success of the S-ICD Signup and view all the answers

What is one strategy for preparing and managing high BMI patients during S-ICD implantation?

Using a bariatric table if possible Signup and view all the answers

What is the potential consequence of system impedance values between 201-400 ohms?

Ineffective shock therapy Signup and view all the answers

What is a crucial consideration during pre-implant assessment?

Device size and patient activity levels Signup and view all the answers

What should be obtained from the device during replacement?

Data on previous therapy delivery (episodes) Signup and view all the answers

Why is the PRAETORIAN Score used during replacement?

To evaluate device and lead position (X-ray) Signup and view all the answers

What is a key consideration for optimal electrode placement during replacement?

Ensuring the electrode is not damaged Signup and view all the answers

Why is body habitus change a consideration for S-ICD system location?

It impacts sensing and conversion effectiveness Signup and view all the answers

What is a recommended technique for device placement?

Recommended Intermuscular technique Signup and view all the answers