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. 2019 Aug;15(3):161–166. doi: 10.2174/1573403X15666190118123754

Table 1.

Brief review of recent studies on the complications and management of ICD implementation in patients with ESRD.

Complication Prevention/Management Author Journal and Year of Publication
Lead dislodgment Pouch re-opening and lead reposition in early dislodgment
New lead implementation after lead extraction in late dislodgment
Arijit Dasgupta
et al. [28]
American Journal of Kidney Diseases (2007)
Implantation site hematoma Withholding or reversing antiplatelet and anticoagulation medications in patients with low risk for thromboembolic events applying absorbable collagen hemostats, thrombin patches, gelatin foams, and pressure dressings to incision sites Christine Tompkins et al. [20] Cardiovascular Electrophysiology (2011)
Central vein stenosis Left subclavian or cephalic vein approach
Percutaneous balloon angioplasty
Removal of CIED leads with stent insertion
Stenting the SVC over the CIED leads
Theodore F. Saad et al. [29] Seminars in Dialysis (2012)
CIED infections Epicardial CIED leads re-establishment of the AV access and removal of the venous catheter.
Wearable defibrillators
Avoiding the combination of long-term venous hemodialysis catheters and CIEDs
Theodore F. Saad et al. [29] Seminars in Dialysis (2012)
Central vein stenosis Epicardial CIED leads
Use of subcutaneous ICDs if possible
Arif Asif et al. [42] Seminars in Dialysis (2012)
CIED infections Subcutaneous ICDs
Epicardial CIED leads
No entrapment of a lead by a bare-metal stent or stent graft
Percutaneous lead extraction
Peritoneal dialysis
Arif Asif et al. [42] Seminars in Dialysis (2012)
CIED infections Complete lead displacement
Medical therapy in bacteremia
Avirup Guha,
et al. [40]
Heart Rhythm (2015)
Central vein stenosis Subcutaneous ICDs
PTA and stent placement
Rajiv K. Dhamija et al. [47] American Journal of Kidney Diseases (2015)

ESRD, End-stage Renal Disease: CIED, Cardiac implantable electronic device; ICD, Implantable cardioverter-defibrillator; PTA, Percutaneous transluminal angioplasty.