Risk Factors and Temporal Trends of Complications Associated With Transvenous Implantable Cardiac Defibrillator Leads

Journal of the American Heart Association
Jayanthi N KoneruKenneth A Ellenbogen

Abstract

The transvenous implantable cardioverter-defibrillator (ICD) lead is the most common source of complications in a traditional ICD system. This investigation aims to determine the incidence, predictors, and costs associated with these complications using a large insurance database. Data from the OptumLabs™ Data Warehouse, which include diagnosis, physician and procedure codes, and claims from patient hospitalizations, were analyzed. Patients with a de novo ICD or cardiac resynchronization therapy defibrillator implanted from January 1, 2003, through June 30, 2015, were included; those who did not have continuous coverage beginning 1 year before implantation were excluded, resulting in 40 837 patients followed up over an average of 2.3±2.1 years. Patients were followed up until they had the procedure or their last active date in the database. Of 20 580 device procedures, 2165 (5.3%) and 771 (1.9%) had mechanical and infectious complications, respectively. The 5-year rate of freedom from mechanical complication was 92.0% and 89.3% for ICDs and cardiac resynchronization therapy defibrillators, respectively. Infectious complications were more likely in patients with a history of atrial fibrillation, diabetes mellitus, and renal dise...Continue Reading

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Citations

Feb 20, 2019·Pacing and Clinical Electrophysiology : PACE·Eva R BroersMirela Habibović
Jan 10, 2020·Journal of Cardiovascular Electrophysiology·Robert I GriffithsMatthew R Reynolds
Jan 1, 2020·Pacing and Clinical Electrophysiology : PACE·Gustav Mattsson, Peter Magnusson
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Mar 9, 2021·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jorge RomeroLuigi Di Biase
May 27, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Carina Blomstrom-Lundqvist, Bozena Ostrowska
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