Why the study?
Does the use of active fixation leads increase the risk of cardiac perforation compared to passive fixation leads in patients undergoing pacing and defibrillation lead implantation?
Population
1,419 patients undergoing pacing and defibrillation lead implantations between 1 January 2007 and 31 March…
Comparison
Active fixation leads (1,200 leads, 53%) vs Passive fixation leads (1,047 leads, 47%)
Design
Cohort
Authors
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Active fixation leads were associated with perforation; leaves open whether fixation choice should change without randomized confirmation.
Does the use of active fixation leads increase the risk of cardiac perforation compared to passive fixation leads in patients undergoing pacing and defibrillation lead implantation?
Active fixation leads are associated with a significantly higher risk of subacute cardiac perforation compared to passive fixation leads, though the overall incidence remains low (0.5%).
Sterliński et al. (2008) studied this question.
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