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Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries

BACKGROUND: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device impla...

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Autores principales: Ruiz, Iñigo Lorenzo, Arantzamendi, Larraitz Gaztañaga, Mendia, Xabier Marichalar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333412/
https://www.ncbi.nlm.nih.gov/pubmed/35835889
http://dx.doi.org/10.1007/s10840-022-01304-y
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author Ruiz, Iñigo Lorenzo
Arantzamendi, Larraitz Gaztañaga
Mendia, Xabier Marichalar
author_facet Ruiz, Iñigo Lorenzo
Arantzamendi, Larraitz Gaztañaga
Mendia, Xabier Marichalar
author_sort Ruiz, Iñigo Lorenzo
collection PubMed
description BACKGROUND: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device implanting cardiologists from Spain on the management of explanted CIEDs and opinions and concerns regarding reuse in LMIC. METHODS: A nationwide self-administered questionnaire was sent to members of the Spanish Rhythm Association (n = 1110), between December 2020 and January 2021. RESULTS: Forty-two physician responses were obtained (response rate 5%). There was a strong preference to donate explanted devices for reuse in humans (61.9%) or animals (31%). The vast majority of the participants thought device reutilization was safe, ethical, and a reasonable alternative if a new device is not accessible. Moreover, they indicated they would be comfortable asking patients to consider post-mortem donation, and willing to implant post-mortem explanted and resterilized devices if they were unable to obtain new ones. 57.1% of respondents considered it would be beneficial for patients to have a document so they could reflect their wishes regarding device handling after their death. The most mentioned concerns regarding device reuse were malfunction (57.1%) and infection (54.8%). CONCLUSIONS: The majority of respondents support reusable CIED donation to LMIC. It would be interesting to study the feasibility of a nationwide device reutilization program. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10840-022-01304-y.
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spelling pubmed-103334122023-07-12 Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries Ruiz, Iñigo Lorenzo Arantzamendi, Larraitz Gaztañaga Mendia, Xabier Marichalar J Interv Card Electrophysiol Article BACKGROUND: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device implanting cardiologists from Spain on the management of explanted CIEDs and opinions and concerns regarding reuse in LMIC. METHODS: A nationwide self-administered questionnaire was sent to members of the Spanish Rhythm Association (n = 1110), between December 2020 and January 2021. RESULTS: Forty-two physician responses were obtained (response rate 5%). There was a strong preference to donate explanted devices for reuse in humans (61.9%) or animals (31%). The vast majority of the participants thought device reutilization was safe, ethical, and a reasonable alternative if a new device is not accessible. Moreover, they indicated they would be comfortable asking patients to consider post-mortem donation, and willing to implant post-mortem explanted and resterilized devices if they were unable to obtain new ones. 57.1% of respondents considered it would be beneficial for patients to have a document so they could reflect their wishes regarding device handling after their death. The most mentioned concerns regarding device reuse were malfunction (57.1%) and infection (54.8%). CONCLUSIONS: The majority of respondents support reusable CIED donation to LMIC. It would be interesting to study the feasibility of a nationwide device reutilization program. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10840-022-01304-y. Springer US 2022-07-15 2023 /pmc/articles/PMC10333412/ /pubmed/35835889 http://dx.doi.org/10.1007/s10840-022-01304-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Ruiz, Iñigo Lorenzo
Arantzamendi, Larraitz Gaztañaga
Mendia, Xabier Marichalar
Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_full Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_fullStr Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_full_unstemmed Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_short Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_sort spanish rhythm association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333412/
https://www.ncbi.nlm.nih.gov/pubmed/35835889
http://dx.doi.org/10.1007/s10840-022-01304-y
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