Journal article
Implantable cardiac defibrillator leads dysfunction after LVAD implantation
Pacing and clinical electrophysiology, Vol.43(11), pp.1309-1317
11/2020
DOI: 10.1111/pace.14004
PMID: 32627211
Abstract
Background
Implantable cardioverter-defibrillator (ICD) lead dysfunction has been reported after left ventricular assist device (LVAD) implantation in limited single-center studies. We aimed at describing and characterizing the incidence of ICD lead parameters dysfunction after LVAD implantation.
Methods
Among the 652 patients enrolled in the ASSIST-ICD study, only patients with an ICD prior to LVAD were included (n = 401). ICD lead parameters dysfunction following LVAD implantation is defined as follows: (a) >50% decrease in sensing threshold, (b) pacing lead impedance increase/decrease by >100Ω, and (c) >50% increase in pacing threshold.
Results
One hundred twenty-two patients with an ICD prior to LVAD had available ICD interrogation reports prior and after LVAD. A total of 67 (55%) patients exhibited at least one significant lead dysfunction: 17 (15%) exhibited >50% decrease in right ventricular (RV) sensing, 51 (42%) had >100 Ω increase/decrease in RV pacing impedance, and 24 (20%) experienced >50% increase in RV pacing threshold. A total of 52 patients experienced ventricular arrhythmia during follow-up and all were successfully detected and treated by the device. All lead dysfunction could be managed conservatively.
Conclusion
More than 50% of LVAD-recipients may experience >1 significant change in lead parameters but none had severe clinical consequences.
Details
- Title: Subtitle
- Implantable cardiac defibrillator leads dysfunction after LVAD implantation
- Creators
- Vincent Galand - Laboratoire Traitement du Signal et de l'ImageChristophe Leclercq - Laboratoire Traitement du Signal et de l'ImageHamed Bourenane - Laboratoire Traitement du Signal et de l'ImageStéphane Boulé - Centre Hospitalier Régional Universitaire [CHU Lille]André Vincentelli - Centre Hospitalier Régional Universitaire [CHU Lille]Philippe Maury - Service Cardiologie [CHU Toulouse]Pierre Mondoly - Service Cardiologie [CHU Toulouse]François Picard - Université de BordeauxNicolas Welte - Université de BordeauxMichel Kindo - Centre Hospitalier Universitaire [Strasbourg]Thomas Cardi - Centre Hospitalier Universitaire [Strasbourg]Jean Luc Pasquié - Centre Hospitalier Régional Universitaire [Montpellier]Philippe Gaudard - Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046]Jean‐baptiste Gourraud - Centre Hospitalier Universitaire de Nantes = Nantes University HospitalVincent Probst - Centre Hospitalier Universitaire de Nantes = Nantes University HospitalPascal Defaye - Centre Hospitalier Universitaire [CHU Grenoble]Aude Boignard - CIC - GrenobleMarylou Para - Hôpital Bichat-Claude-BernardVincent Algalarrondo - Hôpital Bichat-Claude-BernardEdeline Pelcé - Hôpital de la TimoneVlad Gariboldi - Hôpital de la TimoneMatteo Pozzi - Hôpital Louis PradelJean‐françois Obadia - Hôpital Louis PradelFrederic Anselme - Service de Cardiologie [CHU Rouen]Pierre‐yves Litzler - Service de Cardiologie [CHU Rouen]Katrien Blanchart - Université de Caen NormandieGerard Babatasi - Charmo UniversityFabien Garnier - Centre Hospitalier Universitaire de Dijon - Hôpital François MitterrandMarie Bielefeld - Centre Hospitalier Universitaire de Dijon - Hôpital François MitterrandDavid Hamon - Hôpital Henri MondorNicolas Lellouche - Hôpital Henri MondorThierry Bourguignon - Centre Hospitalier Régional Universitaire de ToursBertrand Pierre - Centre Hospitalier Régional Universitaire de ToursRomain Eschalier - Centre Hospitalier Universitaire de Clermont-FerrandNicolas d'Ostrevy - Charmo UniversityEmilie Varlet - Hôpital Européen Georges-PompidouEloi Marijon - Hôpital Européen Georges-PompidouHugues Blangy - Service de Cardiologie [CHRU Nancy]Nicolas Sadoul - Service de Cardiologie [CHRU Nancy]Erwan Flécher - Laboratoire Traitement du Signal et de l'ImageRaphael Martins - Laboratoire Traitement du Signal et de l'Image
- Resource Type
- Journal article
- Publication Details
- Pacing and clinical electrophysiology, Vol.43(11), pp.1309-1317
- Publisher
- Wiley
- DOI
- 10.1111/pace.14004
- PMID
- 32627211
- ISSN
- 0147-8389
- eISSN
- 1540-8159
- Language
- English
- Date published
- 11/2020
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984691514002771
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