April 1, 2011Journal of Cardiovascular Electrophysiology
Insulation Defects of Thin High-Voltage ICD Leads:
Population
357 consecutive patients who received transvenous 7 and 8 French ICD-leads (St. Jude Medical, Riata family)
Design
Cohort
Follow-up
mean 42 ± 24 months
Authors
Discussion
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Member takes
Implication
Subclavian access and subpectoral placement may raise ICD lead failure risk; observational data leaves open causal inference and practice change.
Structured PICO
P
Population
357 consecutive patients who received transvenous 7 and 8 French ICD-leads (St. Jude Medical, Riata family)
I
Intervention
Transvenous 7 and 8 French ICD-leads
O
Outcome
Lead failure requiring surgical interventionsafety
Insulation defects of 7 and 8 French ICD leads at the tricuspid level are a significant complication that may present with normal electrical parameters, highlighting the need for fluoroscopic evaluation.
Cite This Study
Erkapic et al. (2011) studied this question.