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

Dominic Theuns, A Elvan, W de Voogt, CC de Cock, L van Erven, M Meine

Research output: Contribution to journalArticleAcademic

52 Citations (Scopus)

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 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. (Circ Arrhythm Electrophysiol. 2012;5:1059-1063.)
Original languageUndefined/Unknown
Pages (from-to)1059-1063
Number of pages5
JournalCirculation-arrhythmia and electrophysiology
Volume5
Issue number6
DOIs
Publication statusPublished - 2012

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