18 Questions
What is the primary objective of optimizing S-ICD system location during implantation?
To ensure best patient outcome
What is the primary consideration for S-ICD device placement in patients with high BMI?
Subcutaneous placement
Which of the following is a common challenge in S-ICD implantation?
Both high and low BMI patients
What is the purpose of the PRAETORIAN Score in S-ICD implantation?
To predict the risk of complications
What is the recommended approach for suboptimal S-ICD placements?
To discuss tips and tricks with an expert physician
What is the main benefit of using the S-ICD system?
Improved patient outcome
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
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
What is the optimal range for high voltage shock impedance?
90 ohms
What is the purpose of the Praetorian score?
To predict defibrillation success of the S-ICD
What is one strategy for preparing and managing high BMI patients during S-ICD implantation?
Using a bariatric table if possible
What is the potential consequence of system impedance values between 201-400 ohms?
Ineffective shock therapy
What is a crucial consideration during pre-implant assessment?
Device size and patient activity levels
What should be obtained from the device during replacement?
Data on previous therapy delivery (episodes)
Why is the PRAETORIAN Score used during replacement?
To evaluate device and lead position (X-ray)
What is a key consideration for optimal electrode placement during replacement?
Ensuring the electrode is not damaged
Why is body habitus change a consideration for S-ICD system location?
It impacts sensing and conversion effectiveness
What is a recommended technique for device placement?
Recommended Intermuscular technique
This quiz provides tips and best practices for optimal S-ICD implant and replacement, covering pre-implant, during implant, and post-implant considerations. Learn about device placement, patient body marking, and more.
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