Journal article
Reveal LINQ Versus Reveal XT Implantable Loop Recorders: Intra- and Post-Procedural Comparison
The Journal of pediatrics, Vol.187, pp.290-294
08/2017
DOI: 10.1016/j.jpeds.2017.04.057
PMID: 28545873
Abstract
To compare the procedure, recovery, hospitalization times, and costs along with patient/parent satisfaction after newer-generation cardiac implantable loop recorder (Reveal LINQ; Medtronic Inc, Minneapolis, Minnesota) and previous-generation implantable loop recorder (Reveal XT; Medtronic Inc).
A prospective study of patients undergoing LINQ implantations between April 2014 and October 2015 was performed. Retrospective chart review of patients undergoing XT implantations was performed for comparison.
Thirty-one patients received LINQ and 15 patients received XT. Indications included syncope/palpitations (28/46, 61%), history of arrhythmias (9/46, 20%), arrhythmia burden in congenital heart disease (5/46, 10%), and monitoring in channelopathies (4/46, 9%). The LINQ group underwent more conscious sedation procedures than the XT group (8/31 vs 0/15, P = .04) with shorter procedural time (9 vs 34 minutes, P < .001), room occupation time (38 vs 81 minutes, P < .001), recovery time (21 vs 67 minutes, P < .001), and total hospital time (214 vs 264 minutes, P = .046). The LINQ group also had shorter return to activity time (2 vs 5 days, P = 1). Three device erosions in the LINQ group required reintervention. The LINQ group had fewer body image issues than the XT group (1/26 vs 5/14, P = .01) with both groups scoring 5/5 overall patient/parent satisfaction score at follow-up. Both groups had comparable total direct hospital costs (US $5905 vs $5438, P = .8).
LINQ offers better procedural and recovery time compared with XT. LINQ implantations under conscious sedation reduce total hospitalization time.
Details
- Title: Subtitle
- Reveal LINQ Versus Reveal XT Implantable Loop Recorders: Intra- and Post-Procedural Comparison
- Creators
- Hoang H. Nguyen - Washington University in St. LouisIan H. Law - University of IowaMichael W. Rudokas - Washington University in St. LouisJennifer Lampe - Roy J. and Lucille A. Carver College of MedicineTammy M. Bowman - Washington University in St. LouisGeorge F. Van Hare - Washington University in St. LouisJennifer N. Avari Silva - Washington University in St. Louis School of Medicine
- Resource Type
- Journal article
- Publication Details
- The Journal of pediatrics, Vol.187, pp.290-294
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jpeds.2017.04.057
- PMID
- 28545873
- ISSN
- 0022-3476
- eISSN
- 1097-6833
- Grant note
- External Research Program (Physician Initiated Research program) of Medtronic, Inc.
- Language
- English
- Date published
- 08/2017
- Academic Unit
- Cardiology; Stead Family Department of Pediatrics
- Record Identifier
- 9984353864502771
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