État des lieux des poses de défibrillateurs automatiques implantables en 2016 et impact économique de l'arrivée des défibrillateurs sous-cutanés Emblem

For ICD implantation to remain financially feasible, the proportion of high-cost ICDs (subcutaneous and triple-chamber) should not exceed 50 % in order not to increase the cost of the procedure per patient in comparison to 2011. The DRG-based budget system thus penalizes centers fitting more of the more expensive devices, and fails to take account of the long-term cost savings associated with subcutaneous ICDs, which would be interesting to assess.