Riata和Fidelis领先管理策略的比较结果:来自ndr - icd登记处的结果。

IF 1.3

Pacing and clinical electrophysiology : PACE Pub Date : 2021-11-01 Epub Date: 2021-09-28 DOI:10.1111/pace.14361

Emily P Zeitler, Yongfei Wang, Sean D Pokorney, Jeptha Curtis, Jordan M Prutkin

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引用次数: 3

摘要

背景:美敦力Sprint Fidelis®和雅培Riata®/Riata ST®导联存在失效风险，可能会被FDA召回。在多中心人群中，各种铅管理策略在选择性发生器变化期间的比较风险是未知的。我们的目的是描述功能性，召回的ICD导联进行选择性发生器更换的患者，并根据导联管理策略报告结果。方法:使用来自NCDR ICD Registry的数据，对Riata®或Fidelis®导联进行发电机更换的患者根据导联管理进行描述:再利用、放弃/更换和提取/更换。报告了调整后的死亡率和出院前并发症。结果:13,144例发生器更换手术涉及功能正常、未感染的Riata®或Fidelis®导联(取出n = 414，放弃n = 427)。拔牙组患者较年轻(平均58岁vs. 67岁)，合并症较少。提取组、废弃组和再利用组的最长铅停留时间相似，分别为94、90和99个月。拔牙组住院并发症发生率(10.14%，4.35%)高于弃牙组(1.64%，0.47%)和再使用组(0.22%，0.07%)。与重复使用相比，拔管组的调整后死亡或出院前并发症的几率显著高于拔管组(or 7.77 95% CI 2.42-24.95, p)。结论:在这个现实世界的人群中，拔管功能召回的ICD导联与住院死亡率和并发症的显著风险相关。需要进一步的工作来澄清长期结果是否能平衡这些围手术期风险。

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Comparative outcomes of Riata and Fidelis lead management strategies: Results from the NCDR-ICD Registry.

The Medtronic Sprint Fidelis® and Abbott Riata®/Riata ST® leads are at risk of failure and are subject to FDA recall. Comparative risks of various lead management strategies during elective generator change in a multi‐center population are unknown. We aim to describe patients with functional, recalled ICD leads undergoing elective generator replacement and report outcomes according to lead management strategies.

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Pacing and clinical electrophysiology : PACE

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