Skip to main content
Journal cover image

Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry.

Publication ,  Journal Article
Pokorney, SD; Parzynski, CS; Daubert, JP; Hegland, DD; Varosy, PD; Curtis, JP; Al-Khatib, SM
Published in: JACC Clin Electrophysiol
June 2017

OBJECTIVES: This analysis evaluated temporal trends and factors associated with the use of dual-coil implantable cardioverter-defibrillator (ICD) leads. BACKGROUND: Data suggest that dual-coil ICD leads are not associated with lower mortality and can be more difficult to extract than single-coil leads. METHODS: A total of 435,772 patients at 1,690 hospitals underwent ICD lead insertion in the National Cardiovascular Data Registry's ICD Registry between April 2010 and December 2015. Hospitals were classified into 3 pre-specified groups (low, decreasing, or high use) based on the frequency of dual-coil lead use. RESULTS: Nationally, the use of dual-coil leads has decreased over time, from 87% of ICD leads in early 2010 to 55% at the end of 2015. Hospitals in the low-use (n = 292) or decreasing-use (n = 561) group had more ICDs inserted by electrophysiologists compared to the high-use (n = 837) group (90% or 80% vs 46%; p < 0.001 for both) and more extractions performed (median 7 or 11 vs 2; p < 0.001 for both). Despite statistical differences, there were no clinically significant differences in patient characteristics across all 3 groups. CONCLUSIONS: Although the use of dual-coil ICD leads has decreased over time, it continues to represent the majority of insertions in the United States. Hospital-level factors, but not patient factors, were associated with use of dual-coil ICD leads. Whether decreasing dual-coil ICD lead use has improved patient outcomes remains unknown and should be examined in large, multicenter, contemporaneous patient groups.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

JACC Clin Electrophysiol

DOI

EISSN

2405-5018

Publication Date

June 2017

Volume

3

Issue

6

Start / End Page

612 / 619

Location

United States

Related Subject Headings

  • United States
  • Registries
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Humans
  • Hospitals
  • Female
  • Defibrillators, Implantable
  • Arrhythmias, Cardiac
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pokorney, S. D., Parzynski, C. S., Daubert, J. P., Hegland, D. D., Varosy, P. D., Curtis, J. P., & Al-Khatib, S. M. (2017). Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry. JACC Clin Electrophysiol, 3(6), 612–619. https://doi.org/10.1016/j.jacep.2016.11.014
Pokorney, Sean D., Craig S. Parzynski, James P. Daubert, Donald D. Hegland, Paul D. Varosy, Jeptha P. Curtis, and Sana M. Al-Khatib. “Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry.JACC Clin Electrophysiol 3, no. 6 (June 2017): 612–19. https://doi.org/10.1016/j.jacep.2016.11.014.
Pokorney SD, Parzynski CS, Daubert JP, Hegland DD, Varosy PD, Curtis JP, et al. Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry. JACC Clin Electrophysiol. 2017 Jun;3(6):612–9.
Pokorney, Sean D., et al. “Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry.JACC Clin Electrophysiol, vol. 3, no. 6, June 2017, pp. 612–19. Pubmed, doi:10.1016/j.jacep.2016.11.014.
Pokorney SD, Parzynski CS, Daubert JP, Hegland DD, Varosy PD, Curtis JP, Al-Khatib SM. Temporal Trends in and Factors Associated With Use of Single- Versus Dual-Coil Implantable Cardioverter-Defibrillator Leads: Data From the NCDR ICD Registry. JACC Clin Electrophysiol. 2017 Jun;3(6):612–619.
Journal cover image

Published In

JACC Clin Electrophysiol

DOI

EISSN

2405-5018

Publication Date

June 2017

Volume

3

Issue

6

Start / End Page

612 / 619

Location

United States

Related Subject Headings

  • United States
  • Registries
  • Practice Patterns, Physicians'
  • Middle Aged
  • Male
  • Humans
  • Hospitals
  • Female
  • Defibrillators, Implantable
  • Arrhythmias, Cardiac