Increased rate of subacute lead complications with small-caliber implantable cardioverter-defibrillator leads.
Heart Rhythm
; 6(5): 619-24, 2009 May.
Article
in En
| MEDLINE
| ID: mdl-19389648
ABSTRACT
BACKGROUND:
Increased rates of complications related to the use of small-diameter implantable cardioverter-defibrillator (ICD) leads have been reported. Lead design and engineering aimed at reducing ICD lead diameter may increase associated subacute complications, including cardiac perforation, lead dislodgement, or lead failure.OBJECTIVE:
The purpose of this study was to determine whether lead caliber altered the risk of perforation, lead dislodgement, or lead failure in a single center.METHODS:
All patients with right ventricular (RV) ICD lead implantation at Vanderbilt University and VA-Nashville Medical Center between January 1, 2007, and August 31, 2007, were included in this study. Leads implanted during this period were the Riata 1580, Riata ST 7000 (St. Jude Medical, St. Paul, MN), Sprint Fidelis 6949, and Sprint Quattro 6947 (Medtronic, Minneapolis, MN). Information was collected retrospectively.RESULTS:
A total of 305 ICD leads were implanted (138 small diameter, 167 standard diameter) during the study period. Failure was defined as development of high pacing threshold, marked sensing change, cardiac perforation, or development of extracardiac stimulation. A total of 11 lead failures occurred in the small-diameter lead group, versus one in the standard group. Implantation of a small-diameter lead (Riata 1580, Riata ST 7000, or Sprint Fidelis 6949) was associated with a significant increase in failure rate, 8.0% versus 0.6% (P = .0008) compared with standard-size leads (Sprint Quattro 6947).CONCLUSIONS:
Subacute lead-related complications were more likely with use of small-diameter ICD leads (Riata 1580, Riata ST 7000, Sprint Fidelis 6949) than with with standard-caliber ICD leads (Sprint Quattro 6947).
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Electric Countershock
/
Defibrillators, Implantable
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Heart Failure
Type of study:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Limits:
Adult
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Aged
/
Aged80
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Heart Rhythm
Year:
2009
Document type:
Article
Affiliation country:
United States
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA