PMID- 30487072 OWN - NLM STAT- MEDLINE DCOM- 20191016 LR - 20221207 IS - 1097-6744 (Electronic) IS - 0002-8703 (Linking) VI - 207 DP - 2019 Jan TI - Real-world comparison of in-hospital Reveal LINQ insertable cardiac monitor insertion inside and outside of the cardiac catheterization or electrophysiology laboratory. PG - 76-82 LID - S0002-8703(18)30295-3 [pii] LID - 10.1016/j.ahj.2018.10.002 [doi] AB - BACKGROUND: Traditionally, insertable cardiac monitor (ICM) procedures have been performed in the cardiac catheterization (CATH) or electrophysiology (EP) laboratory. The introduction of the miniaturized Reveal LINQ ICM has led to simplified and less invasive procedures, affording hospitals flexibility in planning where these procedures occur without compromising patient safety or outcomes. METHODS: The present analysis of the ongoing, prospective, observational, multicenter Reveal LINQ Registry sought to provide real-world feasibility and safety data regarding the ICM procedure performed in the CATH/EP lab or operating room and to compare it with insertions performed outside of these traditional hospital settings. Patients included had at least a 30-day period after the procedure to account for any adverse events. RESULTS: We analyzed 1222 patients (58.1% male, age 61.0 +/- 17.1 years) enrolled at 18 centers in the US, 17 centers in Middle East/Asia, and 15 centers in Europe. Patients were categorized into 2 cohorts according to the location of the procedure: in-lab (CATH lab, EP lab, or operating room) (n = 820, 67.1%) and out-of-lab (n = 402, 32.9%). Several differences were observed regarding baseline and procedure characteristics. However, no significant differences in the occurrence of procedure-related adverse events (AEs) were found; of 19 ICM/procedure-related AEs reported in 17 patients (1.4%), 11 occurred in the in-lab group (1.3%) and 6 in the out-of-lab group (1.5%) (P = .80). CONCLUSIONS: This real-world analysis demonstrates the feasibility of performing Reveal LINQ ICM insertion procedures outside of the traditional hospital settings without increasing the risk of infection or other adverse events. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Beinart, Sean C AU - Beinart SC AD - Center for Cardiac and Vascular Research, Washington Adventist Hospital, 15225 Shady Grove Rd Ste 201, Rockville, MD. Electronic address: sbeinart@gmail.com. FAU - Natale, Andrea AU - Natale A AD - Texas Cardiac Arrhythmia Institute, St. David's Medical Center, 3000 N IH 35, Suite 720, Austin, TX. Electronic address: dr.natale@gmail.com. FAU - Verma, Atul AU - Verma A AD - Southlake Regional Health Centre, 596 Davis Dr, Newmarket, Ontario, Canada. Electronic address: atul.verma@utoronto.ca. FAU - Amin, Alpesh AU - Amin A AD - Department of Medicine, University of California,1001 Health Sciences Rd, Irvine, CA. Electronic address: anamin@uci.edu. FAU - Kasner, Scott AU - Kasner S AD - Department of Neurology, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA. Electronic address: kasner@mail.med.upenn.edu. FAU - Diener, Hans-Cristoph AU - Diener HC AD - Department of Neurology and Stroke Center, University Hospital Essen, Hufelandstrasse 55, Essen, Germany. Electronic address: hans.diener@uni-due.de. FAU - Del Greco, Maurizio AU - Del Greco M AD - Santa Maria del Carmine Hospital, Piazza S. Maria, Rovereto, Italy. Electronic address: maurizio.delgreco@apss.tn.it. FAU - Wilkoff, Bruce L AU - Wilkoff BL AD - Cardiac Pacing and Tachyarrhythmia Devices at Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH. Electronic address: wilkofb@ccf.org. FAU - Pouliot, Erika AU - Pouliot E AD - CRHF Clinical, Statistics, Medtronic, 8200 Coral Sea St. Mounds View, MN. Electronic address: erika.pouliot@medtronic.com. FAU - Franco, Noreli AU - Franco N AD - CRHF Clinical, Medtronic, 8200 Coral Sea St. Mounds View, MN. Electronic address: noreli.c.franco@medtronic.com. FAU - Mittal, Suneet AU - Mittal S AD - Electrophysiology Laboratory, The Valley Hospital Health System, One Linwood Avenue, Paramus, NJ. Electronic address: mittsu@valleyhealth.com. LA - eng SI - ClinicalTrials.gov/NCT02746471 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20181014 PL - United States TA - Am Heart J JT - American heart journal JID - 0370465 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Cardiac Catheterization/adverse effects/*statistics & numerical data MH - Child MH - Child, Preschool MH - Coronary Care Units/*statistics & numerical data MH - Electrophysiologic Techniques, Cardiac/adverse effects/*methods/statistics & numerical data MH - Europe MH - Asia, Eastern MH - Feasibility Studies MH - Female MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Miniaturization MH - Operating Rooms/*statistics & numerical data MH - Patient Safety MH - Prospective Studies MH - Registries MH - United States MH - Young Adult EDAT- 2018/11/30 06:00 MHDA- 2019/10/17 06:00 CRDT- 2018/11/30 06:00 PHST- 2018/05/08 00:00 [received] PHST- 2018/10/04 00:00 [accepted] PHST- 2018/11/30 06:00 [pubmed] PHST- 2019/10/17 06:00 [medline] PHST- 2018/11/30 06:00 [entrez] AID - S0002-8703(18)30295-3 [pii] AID - 10.1016/j.ahj.2018.10.002 [doi] PST - ppublish SO - Am Heart J. 2019 Jan;207:76-82. doi: 10.1016/j.ahj.2018.10.002. Epub 2018 Oct 14.