The Implantable Cardioverter Defibrillator: a Health Technology Assessment
Sudden cardiac death (SCD) is defined as a natural death due to cardiac causes, heralded by an abrupt loss of consciousness within one hour of the onset of acute symptoms. It is mostly initiated by a sudden inappropriate and extreme increase in heart rate (typically...
HTA report: new devices for the management of glycaemia in young diabetics
The report is developed to answer the question: “Are there economically sustainable new devices to enhance the management of diabetes type I in people aged 0-18 and do they provide better health and quality of life to patients and carers?” The topic of the report is...
Endovascular therapy using mechanical thrombectomy devices for acute ischaemic stroke
The aim of this project was to examine the effectiveness and safety of mechanical thrombectomy plus standard of care versus standard of care alone, in adults aged 18 years or older with acute ischaemic stroke in the anterior and/or posterior region. CE-marked...
Continuous Subcutaneous Insulin Infusion (CSII) Pumps for Type 1 and Type 2 Adult Diabetic Populations
In June 2008, the Medical Advisory Secretariat began work on the Diabetes Strategy Evidence Project, an evidence-based review of the literature surrounding strategies for successful management and treatment of diabetes. This project came about when the Health System...
Subcutaneous implantable cardioverter defibrillator (ICD)
Cardiovascular disease is a major public health issue accounting for almost 17 million deaths per year globally. According to estimates, 40-50% of them are sudden cardiac deaths. Approximately 6 million sudden cardiac deaths are caused by ventricular tachyarrhythmias....
Health technology assessment (HTA) of public access defibrillation
On 25 July 2013, the then Minister for Health, Dr James Reilly, requested that the Health Information and Quality Authority undertake a health technology assessment (HTA) of a public access defibrillation programme. This was with the aim of informing decision-making...
Health technology assessment (HTA) of a national screening programme for atrial fibrillation in primary care
Atrial fibrillation (AF) is the most common arrhythmia seen in general practice and is associated with a five-fold increase in the risk of stroke. Strokes related to atrial fibrillation are also more severe, with twice the death rate of non-AF related strokes and...
Transcatheter Aortic Valve Implantation (TAVI): a Health Technology Assessment Update
Transcatheter Aortic Valve Insertion – TAVI – is a technique involving the implantation of an artificial valve into a narrowed aortic valve without the need to stop the heart. There are two variants of this procedure. In the first, the artificial valve is...
Percutaneous heart valve implantation in congenital and degenerative valve disease. A rapid Health Technology Assessment.
This Health Technology Assessment report summarises current evidence supporting the use of percutaneous heart valves in degenerative aortic valve and congenital pulmonary outflow tract disease, as compared to conservative medical therapy or traditional surgical valve...
Interspinous implants and pedicle screws for dynamic stabilization of lumbar spine: Rapid assessment
This rapid assessment concerns the clinical effectiveness and the efficiency of innovative surgical technologies proposed for the treatment of degenerative spinal conditions: interspinous spacers and pedicle screw systems. These techniques are presented as...
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