Heart rhythm : the official journal of the Heart Rhythm Society
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Comparative Study
Increased incidence of subacute lead perforation noted with one implantable cardioverter-defibrillator.
The rapid evolution of implantable cardioverter-defibrillator (ICD) leads has resulted in thinner active fixation leads. While these advances have made the leads more versatile, new configurations may be associated with unforeseen complications. ⋯ In 2005, at one institution, there were significantly more cardiac perforations and lead revisions with the Riata lead as compared with the Sprint Fidelis right ventricular defibrillator lead. Further data are required to determine whether certain lead characteristics are responsible for this observation.