. New generation implantable loop recorders can be safely managed by certified nurses.
INTRODUCTION: Implantable loop recorders (ILR) are recommended for several cardiac disorders: the recent miniaturization processes eased their implant and management.
AIM: To describe the advantages of the ILR implant, patients' education and remote control performed by expert certified nurses.
METHODS: Retrospective analysis of consecutive ILR implants of our centre, preformed between May and December 2016: the complications occurred in patients implanted by doctors and nurses were described. Nurses were certified after a two days course and 3 implants assisted by a medical doctor.
RESULTS: 157 patients were implanted with a ICM Reveal LINQ (Medtronic): 74 (47%) by physicians electrophysiologists and 83 (53%) out of the electrophysiology room, by certified nurses. The two groups of patients were not fully comparable because more complex patients were implanted by the physician. All the loop recorders were easily implanted adverse without events during the procedure and after 30 days. Two minor bleedings occurred 24 hours after the implant: 1 in a patient implanted by a physician and the other by a nurse. Both were rapidly solved by finger pressure.
CONCLUSIONS: The ILR implants can be safely performed by trained nurses, out of the elettrophysiology room, with benefits for the patients and the hospital.