Arrhythmias & electrophysiologyCohort study

Occurrence of premature battery depletion in a large multicentre registry of subcutaneous cardioverter-defibrillator patients

EuropacePublished

  • Multicentre registry study
  • retrospective
  • 9 centres in Europe and the US

Authors' conclusion

This manufacturer-independent analysis highlights a notable incidence of PBD in patients equipped with S-ICD models under advisory, and the rate of PBD in this study corresponds to the rate currently estimated by the manufacturer.

Study context

Population
Patients implanted with S-ICD models A209 and A219, October 2012–July 2023
Participants
1,112 S-ICD devices
Exposure
S-ICD devices under advisory vs not under advisory
  • Under advisoryn = 547
Outcome
Incidence of premature battery depletion (PBD; clinically observed sudden drop in battery longevity)

Main finding

As reported in the abstract

Clinically suspected PBD (devices with potentially affected capacitor under FDA advisory) · median follow-up 46 months

Clinically suspected premature battery depletion (PBD)

159 (29.1%)

Observational data: associations, not effects.

Further findings

Time to generator removal or replacement (clinically suspected PBD)

Median time to generator removal or replacement
65 (IQR 55-72) months

Manufacturer confirmation of PBD

PBD confirmed in devices returned for analysis
91.7%

PBD in devices not under advisory

No cases of PBD

Original publication

Occurrence of premature battery depletion in a large multicentre registry of subcutaneous cardioverter-defibrillator patients. Europace. Published 17 June 2024. doi:10.1093/europace/euae170

Summarised from the published abstract; every number is checked against it