Long-term performance of an atrial lead capable of accelerometer based detection of cardiac contractility in patients receiving cardiac resynchronisation therapy
To evaluate the long-term performance of the SonRtip atrial lead. To optimize atrioventricular and interventricular timing and thereby potentially improving cardiac resynchronization therapy (CRT) responder rates, a lead integrated technology and a cardioverter/defibrillator-based algorithm measurin...
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| creator | Senoner, Thomas Barbieri, Fabian Semmler, Georg Adukauskaite, Agne Rubatscher, Andrea Schgör, Wilfried Stühlinger, Markus Bauer, Axel Pfeifer, Bernhard Erich Fiedler, Lukas Roithinger, Franz Xaver Hintringer, Florian Suessenbacher, Alois Wollmann, Christian Georg Dichtl, Wolfgang |
| description | To evaluate the long-term performance of the SonRtip atrial lead.
To optimize atrioventricular and interventricular timing and thereby potentially improving cardiac resynchronization therapy (CRT) responder rates, a lead integrated technology and a cardioverter/defibrillator-based algorithm measuring peak endocardial acceleration have been introduced. Long-term performance of the atrial lead (SonRtip PS55D, Sorin/MicroPort CRM, Italy) embedded with such a sensor has not been reported so far.
Between 2012 and 2018, 143 patients underwent implantation of the SonRtip atrial lead in four Austrian medical centers. Conventional bipolar atrial leads implanted during the same period in 526 patients receiving CRT were used as control cohort.
Among 669 patients included in the study, 10 (1.5%) showed increased atrial pacing thresholds and/or decreased atrial sensing amplitudes and/or sudden increase in atrial lead impedance (above 3000 Ω) after an uneventful early postoperative period. Seven (70%) of the malfunctioning leads were SonRtip leads (p |
| doi_str_mv | 10.1371/journal.pone.0222269 |
| format | Article |
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To optimize atrioventricular and interventricular timing and thereby potentially improving cardiac resynchronization therapy (CRT) responder rates, a lead integrated technology and a cardioverter/defibrillator-based algorithm measuring peak endocardial acceleration have been introduced. Long-term performance of the atrial lead (SonRtip PS55D, Sorin/MicroPort CRM, Italy) embedded with such a sensor has not been reported so far.
Between 2012 and 2018, 143 patients underwent implantation of the SonRtip atrial lead in four Austrian medical centers. Conventional bipolar atrial leads implanted during the same period in 526 patients receiving CRT were used as control cohort.
Among 669 patients included in the study, 10 (1.5%) showed increased atrial pacing thresholds and/or decreased atrial sensing amplitudes and/or sudden increase in atrial lead impedance (above 3000 Ω) after an uneventful early postoperative period. Seven (70%) of the malfunctioning leads were SonRtip leads (p <0.001). Lead replacement was needed in 4.2% of SonRtip leads (six out of 143) and in 0.38% of all other conventional atrial leads (two out of 526) (p <0.001). Because of unaltered atrial sensing properties, a wait and see strategy was chosen in two patients-one of them with a SonRtip lead. The implanted atrial lead in the latter person experienced a sudden increase in pacing threshold (4V/0.35ms).
While short-term safety and stable technical performance of the SonRtip atrial lead could be confirmed, our study found an unexpectedly high malfunction rate over a longer follow-up period.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0222269</identifier><identifier>PMID: 31498840</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acceleration ; Accelerometers ; Aged ; Aged, 80 and over ; Algorithms ; Atrial Fibrillation - physiopathology ; Atrial Fibrillation - therapy ; Biology and Life Sciences ; Cardiac Resynchronization Therapy ; Cardiac Resynchronization Therapy Devices ; Cardiology ; Customer relationship management software ; Diagnosis ; Engineering and Technology ; Equipment Failure ; Exercise ; Female ; Health aspects ; Health care facilities ; Heart ; Heart diseases ; Humans ; Implantation ; Internal medicine ; Landsteiner, Karl ; Male ; Medical centers ; Medical research ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Muscle contraction ; Myocardial Contraction ; Optimization ; Physical Sciences ; Postoperative period ; Research and Analysis Methods ; Sensors ; Technology ; Therapy</subject><ispartof>PloS one, 2019-09, Vol.14 (9), p.e0222269-e0222269</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Senoner et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 Senoner et al 2019 Senoner et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-70fdce462f892b0facb181f84557d8fcc233dbcce6e2b03ef394b19ff207e40f3</citedby><cites>FETCH-LOGICAL-c692t-70fdce462f892b0facb181f84557d8fcc233dbcce6e2b03ef394b19ff207e40f3</cites><orcidid>0000-0001-5711-244X ; 0000-0003-4456-1822</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733485/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733485/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31498840$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Maass, Alexander H.</contributor><creatorcontrib>Senoner, Thomas</creatorcontrib><creatorcontrib>Barbieri, Fabian</creatorcontrib><creatorcontrib>Semmler, Georg</creatorcontrib><creatorcontrib>Adukauskaite, Agne</creatorcontrib><creatorcontrib>Rubatscher, Andrea</creatorcontrib><creatorcontrib>Schgör, Wilfried</creatorcontrib><creatorcontrib>Stühlinger, Markus</creatorcontrib><creatorcontrib>Bauer, Axel</creatorcontrib><creatorcontrib>Pfeifer, Bernhard Erich</creatorcontrib><creatorcontrib>Fiedler, Lukas</creatorcontrib><creatorcontrib>Roithinger, Franz Xaver</creatorcontrib><creatorcontrib>Hintringer, Florian</creatorcontrib><creatorcontrib>Suessenbacher, Alois</creatorcontrib><creatorcontrib>Wollmann, Christian Georg</creatorcontrib><creatorcontrib>Dichtl, Wolfgang</creatorcontrib><title>Long-term performance of an atrial lead capable of accelerometer based detection of cardiac contractility in patients receiving cardiac resynchronisation therapy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To evaluate the long-term performance of the SonRtip atrial lead.
To optimize atrioventricular and interventricular timing and thereby potentially improving cardiac resynchronization therapy (CRT) responder rates, a lead integrated technology and a cardioverter/defibrillator-based algorithm measuring peak endocardial acceleration have been introduced. Long-term performance of the atrial lead (SonRtip PS55D, Sorin/MicroPort CRM, Italy) embedded with such a sensor has not been reported so far.
Between 2012 and 2018, 143 patients underwent implantation of the SonRtip atrial lead in four Austrian medical centers. Conventional bipolar atrial leads implanted during the same period in 526 patients receiving CRT were used as control cohort.
Among 669 patients included in the study, 10 (1.5%) showed increased atrial pacing thresholds and/or decreased atrial sensing amplitudes and/or sudden increase in atrial lead impedance (above 3000 Ω) after an uneventful early postoperative period. Seven (70%) of the malfunctioning leads were SonRtip leads (p <0.001). Lead replacement was needed in 4.2% of SonRtip leads (six out of 143) and in 0.38% of all other conventional atrial leads (two out of 526) (p <0.001). Because of unaltered atrial sensing properties, a wait and see strategy was chosen in two patients-one of them with a SonRtip lead. The implanted atrial lead in the latter person experienced a sudden increase in pacing threshold (4V/0.35ms).
While short-term safety and stable technical performance of the SonRtip atrial lead could be confirmed, our study found an unexpectedly high malfunction rate over a longer follow-up period.</description><subject>Acceleration</subject><subject>Accelerometers</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - therapy</subject><subject>Biology and Life Sciences</subject><subject>Cardiac Resynchronization Therapy</subject><subject>Cardiac Resynchronization Therapy Devices</subject><subject>Cardiology</subject><subject>Customer relationship management software</subject><subject>Diagnosis</subject><subject>Engineering and Technology</subject><subject>Equipment Failure</subject><subject>Exercise</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care facilities</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Implantation</subject><subject>Internal medicine</subject><subject>Landsteiner, Karl</subject><subject>Male</subject><subject>Medical centers</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Muscle contraction</subject><subject>Myocardial Contraction</subject><subject>Optimization</subject><subject>Physical Sciences</subject><subject>Postoperative period</subject><subject>Research and Analysis 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performance of an atrial lead capable of accelerometer based detection of cardiac contractility in patients receiving cardiac resynchronisation therapy</title><author>Senoner, Thomas ; Barbieri, Fabian ; Semmler, Georg ; Adukauskaite, Agne ; Rubatscher, Andrea ; Schgör, Wilfried ; Stühlinger, Markus ; Bauer, Axel ; Pfeifer, Bernhard Erich ; Fiedler, Lukas ; Roithinger, Franz Xaver ; Hintringer, Florian ; Suessenbacher, Alois ; Wollmann, Christian Georg ; Dichtl, Wolfgang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-70fdce462f892b0facb181f84557d8fcc233dbcce6e2b03ef394b19ff207e40f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acceleration</topic><topic>Accelerometers</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - therapy</topic><topic>Biology and Life Sciences</topic><topic>Cardiac Resynchronization Therapy</topic><topic>Cardiac Resynchronization Therapy Devices</topic><topic>Cardiology</topic><topic>Customer relationship management software</topic><topic>Diagnosis</topic><topic>Engineering and Technology</topic><topic>Equipment Failure</topic><topic>Exercise</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health care facilities</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Implantation</topic><topic>Internal medicine</topic><topic>Landsteiner, Karl</topic><topic>Male</topic><topic>Medical centers</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Muscle contraction</topic><topic>Myocardial Contraction</topic><topic>Optimization</topic><topic>Physical Sciences</topic><topic>Postoperative period</topic><topic>Research and Analysis 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Alexander H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term performance of an atrial lead capable of accelerometer based detection of cardiac contractility in patients receiving cardiac resynchronisation therapy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-09-09</date><risdate>2019</risdate><volume>14</volume><issue>9</issue><spage>e0222269</spage><epage>e0222269</epage><pages>e0222269-e0222269</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To evaluate the long-term performance of the SonRtip atrial lead.
To optimize atrioventricular and interventricular timing and thereby potentially improving cardiac resynchronization therapy (CRT) responder rates, a lead integrated technology and a cardioverter/defibrillator-based algorithm measuring peak endocardial acceleration have been introduced. Long-term performance of the atrial lead (SonRtip PS55D, Sorin/MicroPort CRM, Italy) embedded with such a sensor has not been reported so far.
Between 2012 and 2018, 143 patients underwent implantation of the SonRtip atrial lead in four Austrian medical centers. Conventional bipolar atrial leads implanted during the same period in 526 patients receiving CRT were used as control cohort.
Among 669 patients included in the study, 10 (1.5%) showed increased atrial pacing thresholds and/or decreased atrial sensing amplitudes and/or sudden increase in atrial lead impedance (above 3000 Ω) after an uneventful early postoperative period. Seven (70%) of the malfunctioning leads were SonRtip leads (p <0.001). Lead replacement was needed in 4.2% of SonRtip leads (six out of 143) and in 0.38% of all other conventional atrial leads (two out of 526) (p <0.001). Because of unaltered atrial sensing properties, a wait and see strategy was chosen in two patients-one of them with a SonRtip lead. The implanted atrial lead in the latter person experienced a sudden increase in pacing threshold (4V/0.35ms).
While short-term safety and stable technical performance of the SonRtip atrial lead could be confirmed, our study found an unexpectedly high malfunction rate over a longer follow-up period.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31498840</pmid><doi>10.1371/journal.pone.0222269</doi><tpages>e0222269</tpages><orcidid>https://orcid.org/0000-0001-5711-244X</orcidid><orcidid>https://orcid.org/0000-0003-4456-1822</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2019-09, Vol.14 (9), p.e0222269-e0222269 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2287715833 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acceleration Accelerometers Aged Aged, 80 and over Algorithms Atrial Fibrillation - physiopathology Atrial Fibrillation - therapy Biology and Life Sciences Cardiac Resynchronization Therapy Cardiac Resynchronization Therapy Devices Cardiology Customer relationship management software Diagnosis Engineering and Technology Equipment Failure Exercise Female Health aspects Health care facilities Heart Heart diseases Humans Implantation Internal medicine Landsteiner, Karl Male Medical centers Medical research Medicine Medicine and Health Sciences Middle Aged Muscle contraction Myocardial Contraction Optimization Physical Sciences Postoperative period Research and Analysis Methods Sensors Technology Therapy |
| title | Long-term performance of an atrial lead capable of accelerometer based detection of cardiac contractility in patients receiving cardiac resynchronisation therapy |
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