{"id":543,"date":"2018-05-23T11:40:30","date_gmt":"2018-05-23T11:40:30","guid":{"rendered":"http:\/\/www.praetorian-trial.org\/?page_id=543"},"modified":"2026-02-19T10:46:30","modified_gmt":"2026-02-19T10:46:30","slug":"praetorian-dft","status":"publish","type":"page","link":"https:\/\/www.praetorian-trial.org\/?page_id=543","title":{"rendered":"PRAETORIAN-DFT"},"content":{"rendered":"\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"215\" data-id=\"885\" src=\"https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4-1024x215.jpg\" alt=\"\" class=\"wp-image-885\" srcset=\"https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4-1024x215.jpg 1024w, https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4-300x63.jpg 300w, https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4-768x161.jpg 768w, https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4-940x198.jpg 940w, https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/Logo-DFT-4.jpg 1086w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><br>ICD implant improves survival in patients with a higher risk for sudden cardiac death. During ICD implant, the functions of the ICD are tested in several ways, amongst other by defibrillation testing (DFT). During a DFT, a cardiac arrhythmia is induced. If the S-ICD is working properly, it will give a shock and the normal heart rhythm will be restored. During a DFT, the patient is fully sedated. Research has shown that in most cases a defibrillation test during S-ICD implantation is successful. However, performing a defibrillation test involves a (very small) risk of complications and poses a logistical burden. Comparative research has shown for the transvenous ICD, in which the guidewires run through the blood vessels, that performing a DFT during implant does not improve outcome. Therefore, the DFT is no longer routinely performed after TV-ICD implant. PRAETORIAN DFT investigates whether the DFT after S-ICD implant can be replaced by an alternative check. In this check, the correct position of the S-ICD is confirmed on chest X-rays that are routinely taken after S-ICD implantation. This position of the S-ICD is determined by calculating the <a href=\"https:\/\/www.heartrhythmjournal.com\/article\/S1547-5271(18)31012-9\/abstract%20-%20:~:text=The%20PRAETORIAN%20score%20allows%20the,implanters%20on%20S-ICD%20positioning.\" target=\"_blank\" rel=\"noreferrer noopener\">PRAETORIAN Score<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Objective<\/strong><br>The primary objective is to determine whether the S-ICD implant without DFT (with PRAETORIAN Score) is non-inferior to the S-ICD implant with DFT.<br>The secondary objectives are to evaluate the PRAETORIAN score and to evaluate anesthesia protocols for implantation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"517\" height=\"239\" src=\"https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/image.png\" alt=\"\" class=\"wp-image-999\" srcset=\"https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/image.png 517w, https:\/\/www.praetorian-trial.org\/wp-content\/uploads\/image-300x139.png 300w\" sizes=\"(max-width: 517px) 100vw, 517px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>ICD implant improves survival in patients with a higher risk for sudden cardiac death. During ICD implant, the functions of the ICD are tested in several ways, amongst other by defibrillation testing (DFT). During a DFT, a cardiac arrhythmia is &hellip; <a href=\"https:\/\/www.praetorian-trial.org\/?page_id=543\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"class_list":["post-543","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/pages\/543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=543"}],"version-history":[{"count":14,"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/pages\/543\/revisions"}],"predecessor-version":[{"id":1340,"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=\/wp\/v2\/pages\/543\/revisions\/1340"}],"wp:attachment":[{"href":"https:\/\/www.praetorian-trial.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}