Complications of Cardiac Perforation and Lead Dislodgement with an MRI-Conditional Pacing Lead: a Korean Multi-Center Experience.
10.3346/jkms.2016.31.9.1397
- Author:
Chang Hee KWON
1
;
Jin Hee CHOI
;
Jun KIM
;
Uk JO
;
Ji Hyun LEE
;
Woo Seok LEE
;
Yoo Ri KIM
;
Soo Yong LEE
;
Ki Won WHANG
;
Jihyun YANG
;
Sung Hwan KIM
;
Yong Seog OH
;
Kyoung Min PARK
;
Gi Byoung NAM
;
Kee Joon CHOI
;
You Ho KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Complications;
Magnetic Resonance Imaging;
Pacemaker;
Cardiac Perforation
- MeSH:
Aged;
Heart Failure;
Humans;
Incidence;
Logistic Models;
Magnetic Resonance Imaging;
Retrospective Studies
- From:Journal of Korean Medical Science
2016;31(9):1397-1402
- CountryRepublic of Korea
- Language:English
-
Abstract:
Medtronic CapSureFix MRI 5086 pacing lead (5086; Medtronic, Inc., Minneapolis, MN, USA) has been reported to be associated with increased cardiac perforation and lead dislodgement. This study aimed to compare the incidence of cardiac perforation and lead dislodgement within 30 days after pacemaker implantation between 5086 MRI lead and previous Medtronic CapSureFix Novus 5076 non-MRI pacing lead. This was a nationwide, multicenter retrospective study in which we compared the incidence of adverse events between 277 patients implanted with 5086 lead and 205 patients implanted with 5076 lead between March 2009 and September 2014. Cardiac perforation within 30 days of pacemaker implantation occurred in 4 patients (1.4%) with the 5086 lead and in no patient with the 5076 lead (P = 0.084). Lead dislodgement occurred in 8 patients (2.9%) with the 5086 lead and in 5 patients (2.4%) with the 5076 lead (P = 0.764). On multivariate logistic regression analysis, age was significantly associated with cardiac perforation. Congestive heart failure and implantation of right atrial (RA) lead at RA free wall or septum were significant factors for the incidence of lead dislodgement and lead revision. The incidence of cardiac perforation and lead dislodgement were not statistically different between the patients with 5086 lead and the patients with 5076 lead. However, careful attention for cardiac perforation may be needed when using the 5086 MRI lead, especially in elderly patients.
