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?

<p>To predict the risk of complications (D)</p> Signup and view all the answers

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

<p>To discuss tips and tricks with an expert physician (C)</p> Signup and view all the answers

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

<p>Improved patient outcome (A)</p> Signup and view all the answers

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

<p>To determine the optimal location of the subcutaneous electrode and S-ICD pulse generator (A)</p> Signup and view all the answers

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

<p>The S-ICD electrode is not fully inserted into the header or is fractured (B)</p> Signup and view all the answers

What is the optimal range for high voltage shock impedance?

<p>90 ohms (A)</p> Signup and view all the answers

What is the purpose of the Praetorian score?

<p>To predict defibrillation success of the S-ICD (A)</p> Signup and view all the answers

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

<p>Using a bariatric table if possible (A)</p> Signup and view all the answers

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

<p>Ineffective shock therapy (D)</p> Signup and view all the answers

What is a crucial consideration during pre-implant assessment?

<p>Device size and patient activity levels (C)</p> Signup and view all the answers

What should be obtained from the device during replacement?

<p>Data on previous therapy delivery (episodes) (A)</p> Signup and view all the answers

Why is the PRAETORIAN Score used during replacement?

<p>To evaluate device and lead position (X-ray) (C)</p> Signup and view all the answers

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

<p>Ensuring the electrode is not damaged (C)</p> Signup and view all the answers

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

<p>It impacts sensing and conversion effectiveness (A)</p> Signup and view all the answers

What is a recommended technique for device placement?

<p>Recommended Intermuscular technique (A)</p> Signup and view all the answers

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