Evidence map›Paper›PMID 26518666›Full record

SynthesisJournal of the American Heart Association2015

Transvenous Implantable Cardioverter-Defibrillator (ICD) Lead Performance: A Meta-Analysis of Observational Studies.

Rui Providência, Daniel B Kramer, Dominic Pimenta, Girish G Babu, Laura A Hatfield, Adam Ioannou, Jan Novak, Robert G Hauser, Pier D Lambiase

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Landscape of Cardiovascular Device Registries in the United States.Journal of the American Heart Association · 2019
    Pooled it
  2. Observational
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Early Experience with the Biotronik Protego ICD Lead.Journal of clinical medicine · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Comparison of the performance of implantable cardioverter-defibrillator leads among manufacturers.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2020
    Article
  15. Article
  16. Article
  17. First time description of early lead failure of the Linox Smart lead compared to other contemporary high-voltage leads.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2018
    Article
  18. Implantable Cardioverter-defibrillators in Adult Congenital Heart Disease.The Journal of innovations in cardiac rhythm management · 2018
    Review
  19. Article
  20. Herzschrittmachertherapie & Elektrophysiologie · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rui ProvidênciaThe Heart Hospital, University College of London Hospitals NHS Trust, London, United Kingdom (R.P., G.G.B., P.D.L.) Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom (R.P., P.D.L.).
Daniel B KramerCardiac Electrophysiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (D.B.K.).
Dominic PimentaUniversity College of London Hospitals NHS Trust, London, United Kingdom (D.P.).
Girish G BabuThe Heart Hospital, University College of London Hospitals NHS Trust, London, United Kingdom (R.P., G.G.B., P.D.L.).
Laura A HatfieldDepartment of Health Care Policy, Harvard Medical School, Boston, MA (L.A.H.).
Adam IoannouUniversity College of London, United Kingdom (A.I., P.D.L.).
Jan NovakSolothurner Spitaeler AG, Solothurn, Switzerland (J.N.).
Robert G HauserMinneapolis Heart Institute Foundation, Minneapolis, MN (R.G.H.).
Pier D LambiaseThe Heart Hospital, University College of London Hospitals NHS Trust, London, United Kingdom (R.P., G.G.B., P.D.L.) University College of London, United Kingdom (A.I., P.D.L.) Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom (R.P., P.D.L.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the widespread use of implantable cardioverter-defibrillators (ICDs) in clinical practice, concerns exist regarding ICD lead durability. The performance of specific lead designs and factors determining this in large populations need clarification. METHODS AND

resultsThe Medline, Embase, and Cochrane Collaboration databases were searched for studies including ≥2 of the most commonly implanted leads. The Mantel-Haenszel random-effects model was used. Seventeen studies were selected, including a total of 49 871 patients-5538 implanted with Durata (St. Jude Medical Inc), 10 605 with Endotak Reliance (Boston Scientific), 16 119 with Sprint Quattro (Medtronic Corp), 11 709 with Sprint Fidelis (Medtronic Corp), and 5900 with Riata (St. Jude Medical Inc)-with follow-up of 136 509 lead-years. Although the Durata lead presented a numerically higher rate, no statistically significant differences in the mean incidence of lead failure (0.29%-0.45% per year) were observed in comparison of the 3 nonrecalled leads. A higher event rate was documented with the Riata (1.0% per-year increase) and Sprint Fidelis (>2.0% per-year increase) leads compared with nonrecalled leads. An indication of increased incidence of Durata lead failure versus Sprint Quattro and Endotak Reliance leads was observed in 1 of 3 included studies, allowing for comparison of purely electrical lead failure, but this requires further evaluation.

conclusionsEndotak Reliance (8F), Sprint Quattro (8F), and Durata (7F) leads displayed low annual incidence of failure; however, long-term follow-up data are still scarce. More data are needed to clarify the performance and safety of the Durata lead.

Indexed as

Defibrillators, ImplantableChi-Square DistributionElectric CountershockEquipment DesignEquipment FailureHeart FailureHumansObservational Studies as TopicOdds RatioRisk FactorsTime FactorsTreatment Outcomeadverse eventcomplicationsfailurefractureimplantable cardioverter‐defibrillator

Identifiers

PMID26518666
PMCPMC4845221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.