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FRAGILE: FRench Attitude reGistry in case of ICD LEad replacement.
Alonso, Christine; Marquie, Christelle; Defaye, Pascal; Clementy, Nicolas; Mondoly, Pierre; Sadoul, Nicolas; Boveda, Serge; Hidden-Lucet, Françoise; Dompnier, Antoine; Da Costa, Antoine; Marijon, Eloi; Leclercq, Christophe; Caudron, Guillaume; Piot, Olivier; Deharo, Jean-Claude.
Afiliación
  • Alonso C; CMC Ambroise Paré, 25-27 bd Victor Hugo, 92200 Neuilly-sur-Seine, France.
  • Marquie C; CHRU Lille, France.
  • Defaye P; CHU Michallon Grenoble, France.
  • Clementy N; CHU Trousseau Tours, France.
  • Mondoly P; CHU Rangueil Toulouse, France.
  • Sadoul N; CHU Brabois Nancy, France.
  • Boveda S; Clinique Pasteur Toulouse, France.
  • Hidden-Lucet F; GH Pitié-Salpétrière Paris, France.
  • Dompnier A; CH Région Annecienne, France.
  • Da Costa A; CHU Nord Saint-Etienne, France.
  • Marijon E; HEGP Paris, France.
  • Leclercq C; CHU Pontchaillou Rennes, France.
  • Caudron G; GH Sud Réunion, France.
  • Piot O; Centre Cardiologique du Nord Saint-Denis, France.
  • Deharo JC; CHU La Timone Marseille, France.
Europace ; 23(3): 389-394, 2021 03 08.
Article en En | MEDLINE | ID: mdl-33257986
AIMS: FRench Attitude reGistry in case of ICD LEad replacement (FRAGILE) registry was set-up to describe the attitude in different French institutions in case of implantable cardioverter-defibrillator (ICD) lead replacement, extraction, or abandonment and to compare outcomes in both groups. METHODS AND RESULTS: Prospective observational study comparing two attitudes in case of ICD lead replacement, extraction, or abandonment. Primary endpoint describes the attitude in different French centres, collect parameters that may influence the decision. Secondary endpoint compares early and mid-term (2 years) complications in both groups.Between April 2013 and April 2017, 552 patients were included in 32 centres. 434 (78.6%) were male, mean patient's age was 60.3 ± 14.4 years. In 56.9% of the cases, the decision was to explant the lead. Patients in the extraction group were younger than in the abandonment group (56.7 ± 14.5 vs. 65 ± 12.7 P < 0.0001) and less likely to have comorbidities (46.5% vs. 58.3% of the patients P = 0.022). The mean lead dwelling time was significantly longer in the abandonment group as compared with the extraction group (7.6 ± 3.9 vs. 5.2 ± 3.1 years, P < 0.0001). There was no statistical difference between both groups concerning early and 2 years complications. CONCLUSION: In this registry, the strategy in case of non-infected ICD lead replacement was mainly influenced by patient's age and comorbidities and lead dwelling time. No difference was observed in outcomes in both strategies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desfibriladores Implantables Tipo de estudio: Observational_studies Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desfibriladores Implantables Tipo de estudio: Observational_studies Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Europace Asunto de la revista: CARDIOLOGIA / FISIOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido