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- Title
L'espianto dei loop recorder di nuova generazione da parte di infermieri appositamente formati. Risultati di uno studio retrospettivo.
- Authors
Cervellione, Rosario; Moltrasio, Massimo; Somenzi, Alberto; Moro, Massimo; Tondo, Claudio
- Abstract
Introduction. Implantable Loop recorders (ILR) are devices indicated in the diagnostic pathway of various types of heart disease. With miniaturization and dedicated tools, the implantation procedure has been simplified, making it feasible and safe by trained nurses and outside the electrophysiology room. Objective Explore the safety of ILR explantation performed by nursing staff. Methods Observational retrospective analysis conducted on a series of consecutive ILR explants of. Information was collected from electronic medical records of a metropolitan Institute for Treatment and Research exclusively dedicated to cardiovascular disease, relating to patients with an explanted ILR between January 2019 and January 2021. Results 202 patients underwent a loop recorder explant; 197 (97.5%) patients had a Medtronic Reveal LINQTM, 3 (1.5%) a Medtronic Reveal XTTM, and 2 (1%) a Biotronik Biomonitor 2AF. 114 ILR were explanted by nurses (56.4%), while 88 by electrophysiologists. The indications for the ILR implant are different, the main one being the monitoring of atrial fibrillation (44.5%). No serious adverse events occurred within 24 hours following explant procedure or 30 days after. Two episodes (1%) of minor bleeding occurred at the end of the explant procedure and were quickly resolved by the nurses with acupressure. Conclusions Loop recorder explant can be performed autonomously and safely by trained nurses with consequent advantages for the patient, for the healthcare facility and for the nurses themselves.
- Subjects
ELECTROPHYSIOLOGY equipment; PATIENT monitoring equipment; ATRIAL fibrillation diagnosis; ELECTRODES; SYNCOPE; SCIENTIFIC observation; ARTIFICIAL implants; RETROSPECTIVE studies; IMPLANTABLE cardioverter-defibrillators; ACUPRESSURE; PATIENT monitoring; HOSPITAL nursing staff; DESCRIPTIVE statistics; ELECTRONIC health records; PATIENT safety
- Publication
L'Infermiere, 2022, Vol 59, Issue 5, pe82
- ISSN
2038-0712
- Publication type
Article