{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:55:32Z","timestamp":1784156132846,"version":"3.55.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Arrhythmia and Electrophysiology"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n            <jats:title>Background\u2014<\/jats:title>\n            <jats:p>The Riata lead under advisory has posed a unique clinical scenario where inside-out abrasion results in externalization of conductor cables, with a higher risk of electrical failure. We developed a comprehensive registry to assist with clinical management of this lead.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods and Results\u2014<\/jats:title>\n            <jats:p>\n              This Canadian registry reports the findings of 3763 (74.2% of all Riata leads in Canada) Riata leads under advisory, with a mean follow-up time of 8.9\u00b11.5 years. The overall electrical failure rate was 5.2% at 8 years, with no difference between 7-French and 8-French lead models. Cable externalization was found to be more common in the 8-French model (12.3% versus 5.2%,\n              <jats:italic>P<\/jats:italic>\n              &lt;0.0001) and was associated with a higher risk of electrical failure. Predictors of electrical lead failure included cable externalization, higher left ventricular ejection fraction, younger age, higher body mass index, and a passive fixation lead. One patient died due to electrical failure, a further 2 patients survived an event where the device failed to deliver high-voltage therapy. Major complications because of lead extraction were higher when compared with lead abandonment, no difference among lead model observed. Two deaths occurred as a consequence of lead extraction, in the context of an underlying infection.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>The Riata lead under advisory has a steady electrical failure rate over time. There are identifiable predictors of lead failure that can assist with clinical decisions as to whether lead revision should be performed prophylactically.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circep.116.004282","type":"journal-article","created":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T02:59:51Z","timestamp":1476327591000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Canadian Registry of Implantable Electronic Device Outcomes"],"prefix":"10.1161","volume":"9","author":[{"given":"Ratika","family":"Parkash","sequence":"first","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Thibault","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqwal","family":"Mangat","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Coutu","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Bennett","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Healey","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Verma","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francois","family":"Philippon","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roopinder","family":"Sandhu","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Cameron","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Ayala-Paredes","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence","family":"Sterns","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vidal","family":"Essebag","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Kus","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Nery","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Stephenson","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond","family":"Yee","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derek","family":"Exner","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satish","family":"Toal","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Birnie","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Wells","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Krahn","sequence":"additional","affiliation":[{"name":"For the author affiliations, please see the Appendix."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_5_2_2","unstructured":"Medical Device Advisory [website]. Sylmar CA St. Jude Medical: Cardiac Rhythm Management Division Medical Device Advisory; November 28 2011. http:\/\/www.riatacommunication.com\/intl\/physician-information.aspx. Accessed August 1 2016."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2011.12.019"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.01.018"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.12.042"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.976076"},{"key":"e_1_3_5_7_2","unstructured":"Medtronic. Urgent Medical Device Information Sprint Fidelis\u00ae Lead Patient Management Recommendations. October 15 2007. http:\/\/www.medtronic.com\/us-en\/healthcare-professionals\/products\/product-performance\/sprint-fidelis-physician-10-15-2007.html. Accessed September 29 2016."},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.053744"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.975219"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.08.023"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.08.030"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.03.005"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.12.002"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.16.1907"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2007.11.018"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61903-6"}],"container-title":["Circulation: Arrhythmia and Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCEP.116.004282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T23:42:20Z","timestamp":1715557340000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCEP.116.004282"}},"subtitle":["Surveillance of the Riata Lead Under Advisory"],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["10.1161\/CIRCEP.116.004282"],"URL":"https:\/\/doi.org\/10.1161\/circep.116.004282","relation":{},"ISSN":["1941-3149","1941-3084"],"issn-type":[{"value":"1941-3149","type":"print"},{"value":"1941-3084","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]},"assertion":[{"value":"2016-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-08-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-10-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e004282"}}