دورية أكاديمية
Poorer outcomes associated with more invasive lead management strategies for Abbott Riata ® leads: a large, multicenter experience.
| العنوان: | Poorer outcomes associated with more invasive lead management strategies for Abbott Riata ® leads: a large, multicenter experience. |
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| المؤلفون: | Mar PL; Division of Cardiology, St. Louis University, St. Louis, MO, USA., Tsai C; Division of Cardiology, St. Louis University, St. Louis, MO, USA., Golemi L; Division of Cardiology, St. Louis University, St. Louis, MO, USA., Bedi R; Division of Cardiology, St. Louis University, St. Louis, MO, USA., Khan A; Division of Cardiology, St. Louis University, St. Louis, MO, USA., Kabra R; Cardiac Electrophysiology Laboratories, Kansas City Heart Rhythm Institute, University of Missouri-Columbia, 5100 W 110Th St., Ste 200, Overland Park, KS, 66211, USA., Atkins D; Cardiac Electrophysiology Laboratories, Kansas City Heart Rhythm Institute, University of Missouri-Columbia, 5100 W 110Th St., Ste 200, Overland Park, KS, 66211, USA., Bhakta D; Division of Cardiology, Indiana University, Indianapolis, IN, USA., Lakkireddy D; Cardiac Electrophysiology Laboratories, Kansas City Heart Rhythm Institute, University of Missouri-Columbia, 5100 W 110Th St., Ste 200, Overland Park, KS, 66211, USA., Gopinathannair R; Cardiac Electrophysiology Laboratories, Kansas City Heart Rhythm Institute, University of Missouri-Columbia, 5100 W 110Th St., Ste 200, Overland Park, KS, 66211, USA. drrakeshg@yahoo.com. |
| المصدر: | Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing [J Interv Card Electrophysiol] 2024 Aug; Vol. 67 (5), pp. 1127-1132. Date of Electronic Publication: 2023 Oct 26. |
| نوع المنشور: | Journal Article; Multicenter Study; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Netherlands NLM ID: 9708966 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1572-8595 (Electronic) Linking ISSN: 1383875X NLM ISO Abbreviation: J Interv Card Electrophysiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Springer Original Publication: Norwell, MA : Kluwer Academic Publishers, c1997- |
| مواضيع طبية MeSH: | Device Removal* , Electrodes, Implanted* , Defibrillators, Implantable* , Equipment Failure*, Humans ; Male ; Female ; Retrospective Studies ; Aged ; United States ; Treatment Outcome ; Middle Aged ; Pacemaker, Artificial ; Survival Rate |
| مستخلص: | Background: Over 100,000 Abbott Riata ® were implanted in the United States before they were recalled in 2010. There are still a significant number of Abbott Riata ® leads in use, and it is unclear how these leads should be managed at the time of generator change or lead malfunction. Although data comparing both Sprint Fidelis ® and Abbott Riata ® leads in this setting is available, there are no multicenter comparative studies of outcomes for various lead management strategies, including lead extraction (LE), lead abandonment/revision (LA), and generator change (GC) only at the time of device at elective replacement interval (ERI) for Abbott Riata ® leads. Methods: A retrospective, multicenter study was undertaken to compare short-term outcomes (major complications-MC, death, extended or re-hospitalizations within 60 days-RH, lead malfunction-LM) and total outcomes (short-term outcomes & lead malfunction during follow-up) of patients with Riata ® leads undergoing LE, LA, or GC. Results: 152 patients (65 ± 13 years, 68% male) were followed for a mean 33 ± 30 months following intervention. Out of 166 procedures, 13 patients underwent LE, 16 patients underwent LA, and 137 patients underwent GC. There was 1 major complication in each group, yielding an event rate of 7.7% for LE, 6.3% for LA, and 0.7% for GC cohorts. There were significantly more short-term and total adverse outcomes in the group of patients getting LE and LA versus GC only (38.5% & 31.3% vs 7.3%, P < 0.001). Total Riata ® lead dwell time follow-up was 17,067 months. A total of 3 Riata ® lead malfunctions were noted during long-term follow-up. Inappropriate shocks were similar between LE 7.7% (1/13), LA 6.3% (1/16). and GC 11.0% (4/136); P = 0.57. Conclusions: There were more short-term and total adverse outcomes in more invasive management strategies (LE and LA) versus GC alone. The failure rate of Riata ® leads was substantially lower compared to previous reports. Therefore, we recommend only performing battery exchange when a device with an active Riata ® lead is at ERI, unless there is malfunction of the Riata ® lead noted on testing. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Inappropriate shocks; Lead extraction; Lead malfunction; Lead management; Recalled leads; Riata® |
| تواريخ الأحداث: | Date Created: 20231026 Date Completed: 20240730 Latest Revision: 20240730 |
| رمز التحديث: | 20240730 |
| DOI: | 10.1007/s10840-023-01673-y |
| PMID: | 37882994 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1572-8595 |
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| DOI: | 10.1007/s10840-023-01673-y |