August 1, 2005Pacing and Clinical Electrophysiology

Incidence of Complications in Patients with Implantable Cardioverter/Defibrillator Who Receive Additional Transvenous Pace/Sense Leads

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Why the study?

What is the incidence of complications in patients with ICDs who receive an additional transvenous pace/sense lead?

Population

151 patients with implantable cardioverter/defibrillators who received an additional pace/sense lead between…

Design

Cohort

Follow-up

average 43 +/- 27 months

Authors

CWChristian WollmannUniversitätsklinikum St. Pölten DBDirk BöckerGoethe University Frankfurt ALAndreas LöherUniversity Hospital Münster

Discussion

Member takes

Implication

Additional P/S lead implantation was associated with frequent complications; leaves open whether extraction is preferable for defibrillator lead failure.

Structured PICO

What is the incidence of complications in patients with ICDs who receive an additional transvenous pace/sense lead?

Population

151 patients with implantable cardioverter/defibrillators (ICDs) who received an additional pace/sense (P/S) lead between 1990 and 2002 to overcome P/S defects of integrated defibrillation leads (125 male, age 54.9 +/- 13.6 years, LVEF 48.1 +/- 17.8%, CAD in 86 [57%], DCM in 24 [16%], ARVCM in 11 [7%]).

Intervention

Implantation of an additional transvenous pace/sense (P/S) lead.

Outcome

Clinical outcome and incidence of complications (lead-related problems and event-free cumulative survival of the additional P/S lead).safety

Implantation of an additional pace/sense lead for integrated defibrillation lead failure is associated with a substantial complication rate, suggesting extraction of damaged leads may be preferable.

Cite This Study

Wollmann et al. (2005) studied this question.

synapsesocial.com/papers/6a7114392fdcb5703edb6f4b https://doi.org/10.1111/j.1540-8159.2005.00169.x

Topics

Cardiac device therapy

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Implication

Additional P/S lead implantation was associated with frequent complications; leaves open whether extraction is preferable for defibrillator lead failure.

Incidence of Complications in Patients with Implantable Cardioverter/Defibrillator Who Receive Additional Transvenous Pace/Sense Leads

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Incidence of Complications in Patients with Implantable Cardioverter/Defibrillator Who Receive Additional Transvenous Pace/Sense Leads

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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