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Journal of Interventional Cardiac Electrophysiology

Published in:

01-04-2013

Extraction of defibrillator leads recalled for cable externalization and failure

Authors: Divyang Patel, Evan Adelstein, Jan Nemec, G. Stuart Mendenhall, Raveen Bazaz, Sandeep Jain, Samir Saba

Published in: Journal of Interventional Cardiac Electrophysiology | Issue 3/2013

Abstract

Background

The Riata implantable cardioverter–defibrillator lead was recalled by the Food and Drug Administration because of an increased rate of failure associated with cable externalization. Because of its mechanical separation, the Riata lead may be challenging to extract. We therefore examined the experience with Riata lead extractions at our institution.

Methods

All patients implanted with the Riata lead underwent detailed review of their electronic medical records and operative notes. Procedural complications were ascertained by reviewing the medical records up to 30 days after Riata extraction.

Results

From a total of 627 patients implanted with the Riata lead at our institution, 20 patients (age at time of extraction, 57 ± 11 years; 85 % men; lead dwell time, 48 ± 27 months) underwent lead extraction. Extraction was successful in 19 of 20 (95 %) patients and required the use of laser-powered sheaths in 18 (90 %) patients. Over a 30-day follow-up period, 1 of 20 (5 %) patients had a minor procedure-related complication consisting of a new pericardial effusion that did not require drainage.

Conclusions

Extraction of the Riata lead seems to be successful and safe and frequently requires the use of powered sheaths.

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Title: Extraction of defibrillator leads recalled for cable externalization and failure
Authors: Divyang Patel
Evan Adelstein
Jan Nemec
G. Stuart Mendenhall
Raveen Bazaz
Sandeep Jain
Samir Saba
Publication date: 01-04-2013
Publisher: Springer US
Published in: Journal of Interventional Cardiac Electrophysiology / Issue 3/2013
Print ISSN: 1383-875X
Electronic ISSN: 1572-8595
DOI: https://doi.org/10.1007/s10840-012-9751-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extraction of defibrillator leads recalled for cable externalization and failure

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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