Evidence map›Paper›PMID 35478368›Full record

ReviewJournal of cardiovascular electrophysiology2022

The development of the extravascular defibrillator with substernal lead placement: A new Frontier for device-based treatment of sudden cardiac arrest.

Amy E Thompson, Brett Atwater, Lucas Boersma, Ian Crozier, Gregory Engel, Paul Friedman, J Rod Gimbel, Bradley P Knight, Jaimie Manlucu, Francis Murgatroyd and 3 more

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of cardiovascular electrophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. A Contemporary Review of Subcutaneous and Extravascular Implantable Cardiac Defibrillators.The Journal of innovations in cardiac rhythm management · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. [Practical guidance for the implantation of non-transvenous ICD systems].Herzschrittmachertherapie & Elektrophysiologie · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Review
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 12 institutions in 8 countries.

Amy E ThompsonMedtronic Clinical Research, Medtronic plc, Mounds View, Minnesota, USA.ORCID 0000-0002-7363-5870
Brett AtwaterCardiology/Electrophysiology, Inova Medical Group, Mclean, Virginia, USA.
Lucas BoersmaCardiology/Electrophysiology, St. Antonius Hospital Nieuwegein and Amsterdam UMC, Nieuwegein, Netherlands.
Ian CrozierCardiology/Electrophysiology, Christchurch Hospital, Christchurch, New Zealand.ORCID 0000-0003-4652-7791
Gregory EngelCardiology/Electrophysiology, Palo Alto Medical Foundation, Mountain View, California, USA.
Paul FriedmanCardiology/Electrophysiology, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-5052-2948
J Rod GimbelCardiology/Electrophysiology, Lutheran Medical Group, Fort Wayne, Indiana, USA.
Bradley P KnightCardiology/Electrophysiology, Northwestern University, Chicago, Indiana, USA.
Jaimie ManlucuCardiology/Electrophysiology, London Health Sciences Centre, London, Ontario, Canada.
Francis MurgatroydCardiology/Electrophysiology, King's College Hospital, London, United Kingdom.
David O'DonnellCardiology/Electrophysiology, GenesisCare, Heidelberg, Victoria, Australia.
Juergen KuschykCardiology/Electrophysiology, University of Mannheim, Mannheim, Germany.ORCID 0000-0001-7827-4974
Paul DeGrootResearch & Technology, Medtronic plc, Mounds View, Minnesota, USA.
Medtronic (Ireland) · IEChristchurch Hospital · NZGenesis HealthCare · USKing's College Hospital · GBLondon Health Sciences Centre · CALutheran Medical Group · USMayo Clinic · USMedical Research Foundation · GBNorthwestern University · USNova Medical (United States) · USSt. Antonius Ziekenhuis · NLUniversity of Mannheim · DE

Funding

Medtronic plc
6 · The paper itself

Abstract

introductionThe extravascular implantable cardioverter-defibrillato (EV ICD) system with substernal lead placement is a novel nontransvenous alternative to current commercially available ICD systems. The EV ICD provides defibrillation and pacing therapies without the potential long-term complications of endovascular lead placement but requires a new procedure for implantation with a safety profile under evaluation.

methodsThis paper summarizes the development of the EV ICD, including the preclinical and clinical evaluations that have contributed to the system and procedural refinements to date.

resultsExtensive preclinical research evaluations and four human clinical studies with >140 combined acute and chronic implants have enabled the development and refinement of the EV ICD system, currently in worldwide pivotal study.

conclusionThe EV ICD may represent a clinically valuable solution in protecting patients from sudden cardiac death while avoiding the long-term consequences of transvenous hardware. The EV ICD offers advantages over transvenous and subcutaneous systems by avoiding placement in the heart and vasculature; relative to subcutaneous systems, EV ICD requires less energy for defibrillation, enabling a smaller device, and provides pacing features such as antitachycardia and asystole pacing in a single system.

Indexed as

Defibrillators, ImplantableHeart ArrestDeath, Sudden, CardiacHumansanterior mediastinumarrhythmiaextravascularICDsubsternal

Identifiers

PMID35478368
PMCPMC9321102
OpenAlexW4225343253

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.