Author + information
- D.H.J. Elder,
- S. Ferguson,
- K. Fyfe,
- L. Stevenson and
- A.J. Robertson
The Medtronic Reveal underwent a redesign in recent years to an injectable device that could be implanted outwith a theatre environment. Given the increasing demand for monitoring we developed a cardiac physiology-led implantation and follow up service.
Referrals from consultant cardiologists are processed by one of the senior pacing physiologists. The patient is offered an appointment to attend the department and informed consent is undertaken by the cardiac physiologist. The patient is prepared and using accepted sterile technique local anaesthetic is infiltrated prior to the insertion of the device. The wound is closed with surgical glue. The cardiac physiologist explains the device function and issues the home monitoring equipment at the same appointment. Patients are subsequently followed-up by the Carelink remote monitoring service.
The waiting list prior to the service was over 250 days, the current waiting time is under 14 days.
|LINQ Implant||164 (122 solely by cardiac physiologists)|
|Subsequent permanent pacemaker||16|
|Subsequent RF ablation||4|
Implantation of Reveal LINQ loop recorders by cardiac physiologists is efficient, safe, and reduces waiting times.