Initial real world experience with a novel insertable (Reveal LinQ™@Medtronic) compared to the conventional (Reveal XT™@Medtronic) implantable loop recorder at a tertiary care center - Points to ponder!

Sampath Gunda, Yeruva Madhu Reddy, Jayasree Pillarisetti, Sandeep Koripalli, Courtney Jeffery, Jeanine Swope, Donita Atkins, Sudharani Bommana, Martin P. Emert, Rhea Pimentel, Raghuveer Dendi, Loren D. Berenbom, Luigi Di Biase, Andrea Natale, Dhanunjaya Lakkireddy

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Introduction Limited data is available regarding the novel Reveal LinQ™ (LinQ) which is a new generation implantable loop recorders (ILRs). Methods We performed a prospective, observational study of all consecutive patients undergoing conventional (Reveal XT™; XT) and LinQ devices at our institution between January 2012 and December 2014. Results A total of 217 patients underwent ILR implantation. XT was implanted in 105 and LinQ in 112 patients. There were no significant differences in baseline characteristics between the two groups. LinQ implantation using the manufacturer's technique termed, "manufacturer's method" group had significantly higher incidence of pocket infection compared to XT (6/50, 12% vs 3/105, 3%, p = 0.032). With modifications to the LinQ implantation technique (using a conventional scalpel and placing a suture when needed to the incision) termed "modified method" group, the rate of infection has decreased significantly compared to "manufacturer's method group" (0/62, 0% vs 6/50, 12%, p = 0.004) (Table 3). In multivariate regression analysis, the only independent predictors of infection were younger age (OR 0.95; p = 0.04), insertion of LinQ device (OR 30.02; p = 0.006) and procedure time (OR 1.07; p = 0.03). Conclusion In our single-center, prospective, observational study we found that with the current implantable techniques, the novel insertable LinQ device is associated with increased risk of complications.

Original languageEnglish (US)
Pages (from-to)58-63
Number of pages6
JournalInternational Journal of Cardiology
Volume191
DOIs
StatePublished - Jul 15 2015
Externally publishedYes

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Tertiary Care Centers
Equipment and Supplies
Observational Studies
Infection
Prospective Studies
Sutures
Multivariate Analysis
Regression Analysis
Incidence

Keywords

  • Cardiac implantable electronic devices
  • Device infection
  • Implantable loop recorders

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Initial real world experience with a novel insertable (Reveal LinQ™@Medtronic) compared to the conventional (Reveal XT™@Medtronic) implantable loop recorder at a tertiary care center - Points to ponder! / Gunda, Sampath; Reddy, Yeruva Madhu; Pillarisetti, Jayasree; Koripalli, Sandeep; Jeffery, Courtney; Swope, Jeanine; Atkins, Donita; Bommana, Sudharani; Emert, Martin P.; Pimentel, Rhea; Dendi, Raghuveer; Berenbom, Loren D.; Di Biase, Luigi; Natale, Andrea; Lakkireddy, Dhanunjaya.

In: International Journal of Cardiology, Vol. 191, 15.07.2015, p. 58-63.

Research output: Contribution to journalArticle

Gunda, S, Reddy, YM, Pillarisetti, J, Koripalli, S, Jeffery, C, Swope, J, Atkins, D, Bommana, S, Emert, MP, Pimentel, R, Dendi, R, Berenbom, LD, Di Biase, L, Natale, A & Lakkireddy, D 2015, 'Initial real world experience with a novel insertable (Reveal LinQ™@Medtronic) compared to the conventional (Reveal XT™@Medtronic) implantable loop recorder at a tertiary care center - Points to ponder!', International Journal of Cardiology, vol. 191, pp. 58-63. https://doi.org/10.1016/j.ijcard.2015.04.241
Gunda, Sampath ; Reddy, Yeruva Madhu ; Pillarisetti, Jayasree ; Koripalli, Sandeep ; Jeffery, Courtney ; Swope, Jeanine ; Atkins, Donita ; Bommana, Sudharani ; Emert, Martin P. ; Pimentel, Rhea ; Dendi, Raghuveer ; Berenbom, Loren D. ; Di Biase, Luigi ; Natale, Andrea ; Lakkireddy, Dhanunjaya. / Initial real world experience with a novel insertable (Reveal LinQ™@Medtronic) compared to the conventional (Reveal XT™@Medtronic) implantable loop recorder at a tertiary care center - Points to ponder!. In: International Journal of Cardiology. 2015 ; Vol. 191. pp. 58-63.
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abstract = "Introduction Limited data is available regarding the novel Reveal LinQ™ (LinQ) which is a new generation implantable loop recorders (ILRs). Methods We performed a prospective, observational study of all consecutive patients undergoing conventional (Reveal XT™; XT) and LinQ devices at our institution between January 2012 and December 2014. Results A total of 217 patients underwent ILR implantation. XT was implanted in 105 and LinQ in 112 patients. There were no significant differences in baseline characteristics between the two groups. LinQ implantation using the manufacturer's technique termed, {"}manufacturer's method{"} group had significantly higher incidence of pocket infection compared to XT (6/50, 12{\%} vs 3/105, 3{\%}, p = 0.032). With modifications to the LinQ implantation technique (using a conventional scalpel and placing a suture when needed to the incision) termed {"}modified method{"} group, the rate of infection has decreased significantly compared to {"}manufacturer's method group{"} (0/62, 0{\%} vs 6/50, 12{\%}, p = 0.004) (Table 3). In multivariate regression analysis, the only independent predictors of infection were younger age (OR 0.95; p = 0.04), insertion of LinQ device (OR 30.02; p = 0.006) and procedure time (OR 1.07; p = 0.03). Conclusion In our single-center, prospective, observational study we found that with the current implantable techniques, the novel insertable LinQ device is associated with increased risk of complications.",
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AU - Gunda, Sampath

AU - Reddy, Yeruva Madhu

AU - Pillarisetti, Jayasree

AU - Koripalli, Sandeep

AU - Jeffery, Courtney

AU - Swope, Jeanine

AU - Atkins, Donita

AU - Bommana, Sudharani

AU - Emert, Martin P.

AU - Pimentel, Rhea

AU - Dendi, Raghuveer

AU - Berenbom, Loren D.

AU - Di Biase, Luigi

AU - Natale, Andrea

AU - Lakkireddy, Dhanunjaya

PY - 2015/7/15

Y1 - 2015/7/15

N2 - Introduction Limited data is available regarding the novel Reveal LinQ™ (LinQ) which is a new generation implantable loop recorders (ILRs). Methods We performed a prospective, observational study of all consecutive patients undergoing conventional (Reveal XT™; XT) and LinQ devices at our institution between January 2012 and December 2014. Results A total of 217 patients underwent ILR implantation. XT was implanted in 105 and LinQ in 112 patients. There were no significant differences in baseline characteristics between the two groups. LinQ implantation using the manufacturer's technique termed, "manufacturer's method" group had significantly higher incidence of pocket infection compared to XT (6/50, 12% vs 3/105, 3%, p = 0.032). With modifications to the LinQ implantation technique (using a conventional scalpel and placing a suture when needed to the incision) termed "modified method" group, the rate of infection has decreased significantly compared to "manufacturer's method group" (0/62, 0% vs 6/50, 12%, p = 0.004) (Table 3). In multivariate regression analysis, the only independent predictors of infection were younger age (OR 0.95; p = 0.04), insertion of LinQ device (OR 30.02; p = 0.006) and procedure time (OR 1.07; p = 0.03). Conclusion In our single-center, prospective, observational study we found that with the current implantable techniques, the novel insertable LinQ device is associated with increased risk of complications.

AB - Introduction Limited data is available regarding the novel Reveal LinQ™ (LinQ) which is a new generation implantable loop recorders (ILRs). Methods We performed a prospective, observational study of all consecutive patients undergoing conventional (Reveal XT™; XT) and LinQ devices at our institution between January 2012 and December 2014. Results A total of 217 patients underwent ILR implantation. XT was implanted in 105 and LinQ in 112 patients. There were no significant differences in baseline characteristics between the two groups. LinQ implantation using the manufacturer's technique termed, "manufacturer's method" group had significantly higher incidence of pocket infection compared to XT (6/50, 12% vs 3/105, 3%, p = 0.032). With modifications to the LinQ implantation technique (using a conventional scalpel and placing a suture when needed to the incision) termed "modified method" group, the rate of infection has decreased significantly compared to "manufacturer's method group" (0/62, 0% vs 6/50, 12%, p = 0.004) (Table 3). In multivariate regression analysis, the only independent predictors of infection were younger age (OR 0.95; p = 0.04), insertion of LinQ device (OR 30.02; p = 0.006) and procedure time (OR 1.07; p = 0.03). Conclusion In our single-center, prospective, observational study we found that with the current implantable techniques, the novel insertable LinQ device is associated with increased risk of complications.

KW - Cardiac implantable electronic devices

KW - Device infection

KW - Implantable loop recorders

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