Poster created with the association of Policlinico S. Orsola-Malpighi for the EHRA Europace 2013 Congress

STUDIO MATER Efficiency of Remote Technical Support for the ICD follow-up outpatients AD. 1088 Biffi M, Salomoni M, Balbo M, Bonfatti F, Ziacchi M, Diemberger I, Battistini P, Mancusi M*, Boriani G. Nayamed. Institute of Cardiology, University of Bologna, Italy; *NayaMed International Sàrl, Lausanne, Switzerland. Purposes Results Conclusions ICD Follow-Up (FUP) is a considerable burden for Cardiology Departments, and is • 2 nurses and 2 technicians unfamiliar to the Nayamed programmer interface were • ICD follow-up by nurses or technicians under guidance by IEAP using RTS is feasible sometimes a challenging task due to arrhythmia interpretation and device troubleshooting selected in random order to perform the follow-ups. and safe in experienced centers. that may require qualified technical consultation in real time. Although remote ICD • 22 patients with Nayamed ICDS (19 VR, 3 DR) underwent RTS follow-ups via NayaMed • Compared to OSTS, RTS provides qualified technical support and can lead to a monitoring is increasingly being adopted, most patients are still manage as outpatients. RTS box vs 22 on-site follow-ups (20 VR, 2 DR) conducted by a Medtronic IEAP. possible reduction in health care expenditures. On-site technical support (OSTS) by Industry Employed Allied Professionals (IEAP) is an expensive investment for device manufacturers, and when coupled with the limited • Patients' clinical characteristics similar in the 2 groups. Follow-ups repeated 6 months • RTS by qualified advisors has a training effect on Allied Professionals. resources available in the health systems worldwide, it urges the development of later (as per normal hospital practice) by the same personnel, either in the RTS or in the • The possibility of accessing RTS 24h per day, 7 days per week wasn't assessed in this Remote Technical Support (RTS) for ambulatory patients. OSTS modality. work. The purpose of this study was to assess the feasibility and safety of the Remote • The aid of an EP was necessary in 7 FUPS with RTS and in 8 FUPS with OSTS (p=NS), Technical Support model in experienced centers. and was related to: detection of SVTS (6 patients), treated VTs (4 patients), Wavelet discriminator testing/re-programming (3 patients), recurrent Non-sustained VTs (1 patient), decreased RV signal amplitude (1 patient). LAUSANNE, SWITZERLAND • The appropriateness of device inspection (battery and system integrity check), device Technical Advisor testing (pacing threshold and impedance, assessment of the intrinsic signal), and programming was assessed and found as fully satisfactory by 2 senior EPs (p=NS). • Time to perform device TTP: First follow-up session, 6±2 min in the RTS group vs noyomed Noyamed INTERNET 4.1±2.7 min in the OSTS group (p<0.05). Second follow-up session, 3±1.4 min in the RTS group vs 3.4±0.4 min in the OSTS group (p<0.05). RTS follow-up vs OSTS follow-up Nurse involved in the FUP session RTS box connected to the Programmer in RTS box for Remote Technical via RTS the FUP room in Bologna Support Testing, Troubleshooting, and Programming (TTP) Time 8 Methods BOLOGNA, ITALY Allied Professional guided by Technical Advisor during follow-up • Ambulatory FUPS by RTS vs Ambulatory FUPS by OSTS of ICD patients. O Remote Technical Support (RTS) On-Site Technical Support (OSTS) Ambulatory FUP with Remote Technical Support (RTS): Non-qualified nurses and technicians in the hospital performed the ICD Testing, Troubleshooting, and Programming 6. 4.1 3.0 3.4 (TTP) guided by a NayaMed IEAP in Lausanne (Switzerland) via NayaMed RTS box (real First Session Second Session time audio-video connection system to share the programmer screen), under the supervision of a physician. ЕP Aids 6 Ambulatory FUP with On-Site Technical Support (OSTS): a Medtronic IEAP conducted follow-ups on-site in the hospital in Bologna. 5 The aid of an Electrophysiologist (EP) for arrhythmia interpretation and device troubleshooting was made available when necessary. MRemote Technical Support (RTS) Dr. Mauro Biffi is a Senior Electrophysiologist at the Institute of Cardiovascular MOn-Site Technical Support (OSTS) • Parameters measured: Time necessary for device Testing, Troubleshooting, and Diseases of the University of Bologna, Italy. He has been a Clinical Investigator for Programming (TTP). several clinical trials since 1994 and he has co-authored more than 190 papers in 1 peer-reviewed medical journals. He is a strong believer in device automaticity and 4 5 3 3 • Assessments by 2 senior Electrophysiologists: safety and appropriateness of the overall Remote Support by Technical Advisors for the management of CIEDS recipients. First Session Second Session procedure. Number of aids Time (min)