論文

2015年11月

Predictive factors of lead failure in patients implanted with cardiac devices

INTERNATIONAL JOURNAL OF CARDIOLOGY
  • Yoshiyasu Aizawa
  • Masachika Negishi
  • Shin Kashimura
  • Kazuaki Nakajima
  • Akira Kunitomi
  • Yoshinori Katsumata
  • Takahiko Nishiyama
  • Takehiro Kimura
  • Nobuhiro Nishiyama
  • Kotaro Fukumoto
  • Yoko Tanimoto
  • Shun Kohsaka
  • Seiji Takatsuki
  • Keiichi Fukuda
  • 全て表示

199
開始ページ
277
終了ページ
281
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ijcard.2015.07.055
出版者・発行元
ELSEVIER IRELAND LTD

Introduction: Lead failures (LFs) are one of the most common complications in patients implanted with cardiovascular implantable electronic devices. LFs often cause serious secondary complications such as inappropriate ICD shocks or asystole. This study aimed to identify the clinical factors associated with the occurrence of LFs.
Methods: A total of 735 consecutive device implantations (mean age 67 +/- 15 years, males 64%) performed at a single university hospital setting from 1997 to 2014 were included. The implanted devices consisted of 421 pacemakers, 250 implantable cardioverter defibrillators (ICD), 9 cardiac resynchronization therapy pacemakers (CRT-P), and 55 CRT defibrillators (CRT-D). The primary endpoint was the development of an LF.
Results: During a mean duration of 5.8 +/- 4.3 years, 38 LFs developed in 31 patients (mean age 56 +/- 14 years). LFs included 32 ICD (7 Sprint Fidelis, 2 Riata), and 6 pacing leads. Nine patients received inappropriate ICD shocks and 1 had syncope due to an LF. All patients underwent lead reinsertions with device replacements. Eight patients required opposite site implantations due to venous occlusions. The predictive factors of LFs were the age, male sex, taller body length, ICD vs. pacemaker, lesser lead number, extra-thoracic puncture of the axillary vein vs. a cut-down of the cephalic vein, use of recalled leads and patients with idiopathic ventricular fibrillation (IVF) and Brugada syndrome (BrS).
Conclusion: LFs occurred mainly with ICD leads. A lesser age, the puncture method, lead model, and diagnosis of IVF/BrS were associated with the development of LFs. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

リンク情報
DOI
https://doi.org/10.1016/j.ijcard.2015.07.055
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000361150100058&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.ijcard.2015.07.055
  • ISSN : 0167-5273
  • eISSN : 1874-1754
  • Web of Science ID : WOS:000361150100058

エクスポート
BibTeX RIS