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Rordorf R; Canevese F; Vicentini A; Petracci B; Savastano S; Sanzo A; Gandolfi E; Dore R; Landolina M
BACKGROUND: An added accident of delayed cardiac breach (DCP) with active-fixation small-diameter ICD leads has afresh been reported, abnormally with attention to the St. Jude Riata advance (St. Jude Medical, Sylmar, CA, USA). Few abstracts on the accident of DCP in baby against standard-diameter leads built-in in a distinct high-volume centermost are available. Moreover, no abstracts on the performances of St. Jude's new small-diameter Durata advance are as yet available. The aim of this abstraction was to appraise the accident of DCP in baby against standard-diameter leads built-in in our center.
METHODS: Between January 2003 and October 2009, 437 small-diameter leads (190 Medtronic Sprint Fidelis [Medtronic Inc., Minneapolis, MN, USA], 196 Riata, 51 Durata) and 421 standard-diameter (>8 Fr) leads were implanted.
RESULTS: After a average aftereffect of 421 canicule seven of 858 (0.8%) patients accomplished DCP. The accident of DCP was college in patients with small-diameter leads than in those with standard-diameter leads (1.6% vs 0%, P = 0.01). No cases of DCP occurred amid 371 passive-fixation leads against 1.4% of contest amid active-fixation leads (P = 0.02). The accident of DCP was 2.5% in Riata, 1% in Sprint Fidelis, 0% in Durata, and 0% in standard-diameter leads (P < 0.01 for Riata vs standard-diameter leads).
CONCLUSIONS: Small-diameter active-fixation ICD leads are at added accident of DCP, a award mostly due to the college accident of contest in the Riata family. By contrast, passive-fixation small-diameter leads and standard-diameter leads arise to be safe abundant apropos the accident of DCP. Our basic abstracts advance that the new Durata advance is not associated with an added accident of DCP.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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