Why the study?
What is the incidence of ICD lead malfunction requiring surgical revision, and how do different revision strategies compare regarding recurrence?
Population
1317 consecutive patients with an implantable cardioverter-defibrillator implanted at 3 European centers…
Comparison
Surgical revision of ICD lead malfunction via… vs Comparison between implantation of an additional…
Design
Cohort
Follow-up
median 6.4 years
Authors
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High recurrence after ICD lead revision warrants close surveillance; leaves open optimal strategy in observational data.
What is the incidence of ICD lead malfunction requiring surgical revision, and how do different revision strategies compare regarding recurrence?
ICD lead malfunction requiring surgical revision occurs in 2.5% of patients at 5 years, and regardless of the revision strategy, these patients face a high 20% risk of recurrent lead problems.
Eckstein et al. (2008) studied this question.
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