Prevalence and Presentation of Externalized Conductors and Electrical Abnormalities in Riata Defibrillator Leads After Fluoroscopic Screening: Report From the Netherlands Heart Rhythm Association Device Advisory Committee
BACKGROUND—The Riata family of implantable cardioverter-defibrillator (ICD) leads is prone to a specific insulation abrasion characterized by externalization of conductor cables. The objective of this study was to determine the prevalence of externalized conductors and electrical abnormalities in Ri...
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| Veröffentlicht in: | Circulation. Arrhythmia and electrophysiology 2012-12, Vol.5 (6), p.1059-1063 |
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| container_title | Circulation. Arrhythmia and electrophysiology |
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| creator | Theuns, Dominic A.M.J Elvan, Arif de Voogt, Willem de Cock, Carel C van Erven, Lieselot Meine, Mathias |
| description | BACKGROUND—The Riata family of implantable cardioverter-defibrillator (ICD) leads is prone to a specific insulation abrasion characterized by externalization of conductor cables. The objective of this study was to determine the prevalence of externalized conductors and electrical abnormalities in Riata ICD leads by fluoroscopic screening and standard ICD interrogation.
METHODS AND RESULTS—All ICD implantation centers were contacted by the Netherlands Heart Rhythm Association Device Advisory Committee to identify all patients with an active Riata ICD lead and to perform fluoroscopic screening of the lead. In addition, the electrical integrity of the lead was assessed. As of March 1, 2012, data for 1029 active Riata leads were available; 47% of these were 8-F Riata and 53% were 7-F Riata ST. Externalized conductors were observed in 147 leads (14.3%). Proportion of externalized conductors was higher in 8-F Riata compared with 7-F Riata ST (21.4% vs 8.0%; P |
| doi_str_mv | 10.1161/CIRCEP.112.975755 |
| format | Article |
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METHODS AND RESULTS—All ICD implantation centers were contacted by the Netherlands Heart Rhythm Association Device Advisory Committee to identify all patients with an active Riata ICD lead and to perform fluoroscopic screening of the lead. In addition, the electrical integrity of the lead was assessed. As of March 1, 2012, data for 1029 active Riata leads were available; 47% of these were 8-F Riata and 53% were 7-F Riata ST. Externalized conductors were observed in 147 leads (14.3%). Proportion of externalized conductors was higher in 8-F Riata compared with 7-F Riata ST (21.4% vs 8.0%; P<0.001). Median time from implantation to detection of externalized conductors was 65.3 months. The estimated rates of externalized conductors were 6.9% and 36.6% at 5 and 8 years after implantation, respectively. Of the 147 leads with externalized conductors, 10.9% had abnormal electrical parameters vs 3.5% in nonexternalized leads (P<0.001).
CONCLUSIONS—The prevalence of externalized conductors in Riata leads is significantly high (14.3%) using fluoroscopic screening. The majority of externalized conductors are not detectable with standard ICD interrogation. Screening with fluoroscopy is reasonable.</description><identifier>ISSN: 1941-3149</identifier><identifier>EISSN: 1941-3084</identifier><identifier>DOI: 10.1161/CIRCEP.112.975755</identifier><identifier>PMID: 23091049</identifier><language>eng</language><publisher>Hagerstown, MD: American Heart Association, Inc</publisher><subject>Advisory Committees ; Arrhythmias, Cardiac - therapy ; Biological and medical sciences ; Cross-Sectional Studies ; Defibrillators, Implantable - adverse effects ; Equipment Failure - statistics & numerical data ; Equipment Safety - methods ; Fluoroscopy - methods ; Humans ; Medical sciences ; Netherlands ; Prevalence ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retrospective Studies</subject><ispartof>Circulation. Arrhythmia and electrophysiology, 2012-12, Vol.5 (6), p.1059-1063</ispartof><rights>2012 American Heart Association, Inc.</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3283-a519ce533de4ad3df79533824fe065c39e128a5dc97d500d5d5b2c36e655d34a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3674,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26777998$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23091049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Theuns, Dominic A.M.J</creatorcontrib><creatorcontrib>Elvan, Arif</creatorcontrib><creatorcontrib>de Voogt, Willem</creatorcontrib><creatorcontrib>de Cock, Carel C</creatorcontrib><creatorcontrib>van Erven, Lieselot</creatorcontrib><creatorcontrib>Meine, Mathias</creatorcontrib><title>Prevalence and Presentation of Externalized Conductors and Electrical Abnormalities in Riata Defibrillator Leads After Fluoroscopic Screening: Report From the Netherlands Heart Rhythm Association Device Advisory Committee</title><title>Circulation. Arrhythmia and electrophysiology</title><addtitle>Circ Arrhythm Electrophysiol</addtitle><description>BACKGROUND—The Riata family of implantable cardioverter-defibrillator (ICD) leads is prone to a specific insulation abrasion characterized by externalization of conductor cables. The objective of this study was to determine the prevalence of externalized conductors and electrical abnormalities in Riata ICD leads by fluoroscopic screening and standard ICD interrogation.
METHODS AND RESULTS—All ICD implantation centers were contacted by the Netherlands Heart Rhythm Association Device Advisory Committee to identify all patients with an active Riata ICD lead and to perform fluoroscopic screening of the lead. In addition, the electrical integrity of the lead was assessed. As of March 1, 2012, data for 1029 active Riata leads were available; 47% of these were 8-F Riata and 53% were 7-F Riata ST. Externalized conductors were observed in 147 leads (14.3%). Proportion of externalized conductors was higher in 8-F Riata compared with 7-F Riata ST (21.4% vs 8.0%; P<0.001). Median time from implantation to detection of externalized conductors was 65.3 months. The estimated rates of externalized conductors were 6.9% and 36.6% at 5 and 8 years after implantation, respectively. Of the 147 leads with externalized conductors, 10.9% had abnormal electrical parameters vs 3.5% in nonexternalized leads (P<0.001).
CONCLUSIONS—The prevalence of externalized conductors in Riata leads is significantly high (14.3%) using fluoroscopic screening. The majority of externalized conductors are not detectable with standard ICD interrogation. Screening with fluoroscopy is reasonable.</description><subject>Advisory Committees</subject><subject>Arrhythmias, Cardiac - therapy</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Defibrillators, Implantable - adverse effects</subject><subject>Equipment Failure - statistics & numerical data</subject><subject>Equipment Safety - methods</subject><subject>Fluoroscopy - methods</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Netherlands</subject><subject>Prevalence</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Retrospective Studies</subject><issn>1941-3149</issn><issn>1941-3084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc9u1DAQxiMEoqXwAFyQL0hcUvwnTmJuq3SXVlpBtcA58toT1uDYW9vZsrwr74IhWzjYnpF_882MvqJ4SfAlITV5291suuVtjumlaHjD-aPinIiKlAy31eOHmFTirHgW4zeMa9KS-mlxRhkWBFfivPh1G-AgLTgFSDqNchrBJZmMd8gPaPkjQXDSmp-gUeednlTyIf5llxZUCkZJixZb58OYsWQgIuPQxsgk0RUMZhuMtTIXoTVIHdFiyIpoZScffFR-bxT6pAKAM-7rO7SBvQ8JrYIfUdoB-gD5Dja3i-gaZP7a7I5pN6JFjF6Zec4rOJg8_0IfTPThmOccR5MSwPPiySBthBen96L4slp-7q7L9cf3N91iXSpGW1ZKToQCzpiGSmqmh0bkpKXVALjmigkgtJVcK9FojrHmmm-pYjXUnGtWSXZRvJl198HfTRBTP5qoIO_twE-xJ7RhlLdtyzNKZlTl9WOAod8HM8pw7Anu_7jaz67mmPazq7nm1Ul-2o6g_1U82JiB1ydAxmzHEKRTJv7n6qZphGgzV83cvbfZhfjdTvcQ-h1Im3Y9Jow1Wa2kmFBCMcZlPpix3xWZv7w</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Theuns, Dominic A.M.J</creator><creator>Elvan, Arif</creator><creator>de Voogt, Willem</creator><creator>de Cock, Carel C</creator><creator>van Erven, Lieselot</creator><creator>Meine, Mathias</creator><general>American Heart Association, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Prevalence and Presentation of Externalized Conductors and Electrical Abnormalities in Riata Defibrillator Leads After Fluoroscopic Screening: Report From the Netherlands Heart Rhythm Association Device Advisory Committee</title><author>Theuns, Dominic A.M.J ; Elvan, Arif ; de Voogt, Willem ; de Cock, Carel C ; van Erven, Lieselot ; Meine, Mathias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3283-a519ce533de4ad3df79533824fe065c39e128a5dc97d500d5d5b2c36e655d34a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Advisory Committees</topic><topic>Arrhythmias, Cardiac - therapy</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Defibrillators, Implantable - adverse effects</topic><topic>Equipment Failure - statistics & numerical data</topic><topic>Equipment Safety - methods</topic><topic>Fluoroscopy - methods</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Netherlands</topic><topic>Prevalence</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Theuns, Dominic A.M.J</creatorcontrib><creatorcontrib>Elvan, Arif</creatorcontrib><creatorcontrib>de Voogt, Willem</creatorcontrib><creatorcontrib>de Cock, Carel C</creatorcontrib><creatorcontrib>van Erven, Lieselot</creatorcontrib><creatorcontrib>Meine, Mathias</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation. Arrhythmia and electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Theuns, Dominic A.M.J</au><au>Elvan, Arif</au><au>de Voogt, Willem</au><au>de Cock, Carel C</au><au>van Erven, Lieselot</au><au>Meine, Mathias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Presentation of Externalized Conductors and Electrical Abnormalities in Riata Defibrillator Leads After Fluoroscopic Screening: Report From the Netherlands Heart Rhythm Association Device Advisory Committee</atitle><jtitle>Circulation. Arrhythmia and electrophysiology</jtitle><addtitle>Circ Arrhythm Electrophysiol</addtitle><date>2012-12</date><risdate>2012</risdate><volume>5</volume><issue>6</issue><spage>1059</spage><epage>1063</epage><pages>1059-1063</pages><issn>1941-3149</issn><eissn>1941-3084</eissn><abstract>BACKGROUND—The Riata family of implantable cardioverter-defibrillator (ICD) leads is prone to a specific insulation abrasion characterized by externalization of conductor cables. The objective of this study was to determine the prevalence of externalized conductors and electrical abnormalities in Riata ICD leads by fluoroscopic screening and standard ICD interrogation.
METHODS AND RESULTS—All ICD implantation centers were contacted by the Netherlands Heart Rhythm Association Device Advisory Committee to identify all patients with an active Riata ICD lead and to perform fluoroscopic screening of the lead. In addition, the electrical integrity of the lead was assessed. As of March 1, 2012, data for 1029 active Riata leads were available; 47% of these were 8-F Riata and 53% were 7-F Riata ST. Externalized conductors were observed in 147 leads (14.3%). Proportion of externalized conductors was higher in 8-F Riata compared with 7-F Riata ST (21.4% vs 8.0%; P<0.001). Median time from implantation to detection of externalized conductors was 65.3 months. The estimated rates of externalized conductors were 6.9% and 36.6% at 5 and 8 years after implantation, respectively. Of the 147 leads with externalized conductors, 10.9% had abnormal electrical parameters vs 3.5% in nonexternalized leads (P<0.001).
CONCLUSIONS—The prevalence of externalized conductors in Riata leads is significantly high (14.3%) using fluoroscopic screening. The majority of externalized conductors are not detectable with standard ICD interrogation. Screening with fluoroscopy is reasonable.</abstract><cop>Hagerstown, MD</cop><pub>American Heart Association, Inc</pub><pmid>23091049</pmid><doi>10.1161/CIRCEP.112.975755</doi><tpages>5</tpages></addata></record> |
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| subjects | Advisory Committees Arrhythmias, Cardiac - therapy Biological and medical sciences Cross-Sectional Studies Defibrillators, Implantable - adverse effects Equipment Failure - statistics & numerical data Equipment Safety - methods Fluoroscopy - methods Humans Medical sciences Netherlands Prevalence Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Retrospective Studies |
| title | Prevalence and Presentation of Externalized Conductors and Electrical Abnormalities in Riata Defibrillator Leads After Fluoroscopic Screening: Report From the Netherlands Heart Rhythm Association Device Advisory Committee |
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