Predictors of the right ventricular perforation caused by active-fixation pacing and defibrillator leads: A single-centre experience.
J Cardiovasc Electrophysiol
; 35(3): 399-405, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38192066
ABSTRACT
INTRODUCTION:
Active-fixation leads have been associated with higher incidence of cardiac perforation. Large series specifically evaluating radiographic predictors of right ventricular (RV) lead perforation are lacking.METHODS:
We conducted a retrospective observational study including 1691 consecutive patients implanted with an active fixation pacing and defibrillator lead at our institution between January 2015 and January 2021. Fourteen patients who had clinically relevant RV perforation caused by pacemaker and implantable cardioverter-defibrillator leads were included in the study.RESULTS:
Univariate and multivariate analyses were used to identify predictors of RV perforation. In multivariate analysis, lead slack score (odds ratio [OR] 3.694, 95% confidence interval [CI] 1.066-12.807; p = .039), change in lead slack height (OR 1.218, 95% CI 1.011-1.467; p = .038) and width (OR 1.253, 95% CI 1.120-1.402; p = .001), left ventricular ejection fraction (OR 0.995, 95% CI 0.910-1.088; p = .032) were independent predictors of RV perforation.CONCLUSION:
Fluoroscopic predictors of RV perforation associated with RV lead can be easily determined during implantation. Identification of these predictors may prevent the sequelae of RV perforation associated with active-fixation leads.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Marca-Passo Artificial
/
Desfibriladores Implantáveis
/
Traumatismos Cardíacos
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
J Cardiovasc Electrophysiol
Assunto da revista:
ANGIOLOGIA
/
CARDIOLOGIA
/
FISIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Turquia