Key result
Cephalic vein cut down for pacing lead implantation was associated with zero lead fractures compared to subclavian vein puncture (0% vs 2.25%, p<0.01) over a median follow-up of 4 years.
Why the study?
What is the long-term reliability and electrical stability of sweet-tip type screw-in active fixation pacing leads?
Population
750 patients with 1092 sweet-tip type screw-in active fixation pacing leads implanted consecutively between…
Design
Cohort
Follow-up
mean 51.3±29.2 months (median, 48 months)
Authors
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High long-term survival of sweet-tip leads supports durability; retrospective data leave open optimal venous access to minimize fractures.
Cohort (n=750)
What is the long-term reliability and electrical stability of sweet-tip type screw-in active fixation pacing leads?
Absolute Event Rate: 0% vs 2.25%
p-value: p=<0.01
Sweet-tip type screw-in active fixation leads demonstrate excellent long-term reliability, with cephalic vein cut-down access significantly reducing the risk of lead fracture compared to subclavian vein puncture.
Takano et al. (2016) conducted a cohort in Patients requiring pacing leads (n=750). Cephalic vein cut down (CVC) method vs. Subclavian vein puncture (SVP) method was evaluated on Lead fracture (p=<0.01). Cephalic vein cut down for pacing lead implantation was associated with zero lead fractures compared to subclavian vein puncture (0% vs 2.25%, p<0.01) over a median follow-up of 4 years.
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