DF-4 Lead Connector: Innovative Technology, Unexpected Problems and Novel Solutions

Bhargava, Kartikeya

doi:10.1016/s0972-6292(16)30751-3

Cited by 9 publications

(15 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The finding that Durata leads with DF‐4 connector have a better outcome than Durata leads with DF‐1 connector indicate that an additional lead defect mechanism is related to the distal part of the lead and the generator. The DF‐1 connector consists of a bifurcated (in a single coil lead) or trifurcated (in dual‐coil lead) lead connector whereas the DF‐4 connector consists of one connector with four poles which results in a smaller generator and a lower risk of lead to can abrasion . Early fatigue fractures in the IS‐1 connector leg of the Durata lead with a DF‐1 connector as described by Hauser et al might play a role as a lead failure mechanism.…”

Section: Discussionmentioning

confidence: 99%

“…consists of a bifurcated (in a single coil lead) or trifurcated (in dualcoil lead) lead connector whereas the DF-4 connector consists of one connector with four poles which results in a smaller generator and a lower risk of lead to can abrasion. 7 Early fatigue fractures in the IS-1 connector leg of the Durata lead with a DF-1 connector as described by Hauser et al might play a role as a lead failure mechanism. The incidence was reported to be 0.04% by St Jude Medical.…”

Section: Incidence Of Lead Failure and Lead Failure Mechanismsmentioning

confidence: 95%

“…Optim‐coated leads are expected to have low rates of lead abrasion and conductor externalization . Another technical change in lead design represents the development of the DF‐4 connector technology . The DF‐4 connector contains only one plug providing four‐poles instead of the traditional DF‐1 lead which has bi‐ or trifurcated lead connectors.…”

Section: Introductionmentioning

confidence: 99%

“…5,6 Another technical change in lead design represents the development of the DF-4 connector technology. 7 The DF-4 connector contains only one plug providing four-poles instead of the traditional DF-1 lead which has bi-or trifurcated lead connectors. It is available in Durata leads since 2009 but was never available in Riata leads.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Long‐term performance and lead failure analysis of the Durata defibrillation lead compared to its previous model, the recalled Riata defibrillation lead

Kleemann

Nonnenmacher

Strauss

et al. 2019

Cardiovasc electrophysiol

View full text Add to dashboard Cite

Introduction Data on long‐term durability of St Jude Medical Durata defibrillation leads compared to its previous model, the St Jude Medical Riata leads in clinical practice are missing. Aim of the study was to analyze the long‐term performance of the Durata defibrillation leads compared to the Riata leads in clinical practice. Methods and Results A total of 1407 consecutive patients of a prospective single‐centre implantable cardioverter defibrillator (ICD)‐registry were analyzed who underwent ICD implantation with a Durata (n = 913) or Riata (n = 494) ICD lead between 2002 and 2017. Most of the leads were implanted via a subclavian vein access. The estimated lead defect rates after 5 and 10 years were not different between the Durata (11% and 36%) and Riata leads (13% and 38%). Among Durata leads single coil and DF‐4 connector ICD leads had a lower incidence of lead failure. Major causes of lead failure were compression of the lead in the clavicular region, generator to lead friction and distal fatigue fracture whereas lead defect due to externalization was a rare cause of lead defect in Riata leads (3%). Conclusion Among ICD leads implanted via the subclavian vein access the lead defect rate of Durata leads after 10 years is similar to that of Riata leads. Single coil and DF‐4 ICD leads are associated with a lower lead failure rate. Mechanical stress represents a major cause of lead failure mechanism whereas externalization might only play a minor role in clinical practice.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Incidence Of Lead Failure and Lead Failure Mechanismsmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Long‐term performance and lead failure analysis of the Durata defibrillation lead compared to its previous model, the recalled Riata defibrillation lead

Kleemann

Nonnenmacher

Strauss

et al. 2019

Cardiovasc electrophysiol

View full text Add to dashboard Cite

show abstract

“…DF‐4 leads have simplified the implantation procedure. However, unexpected issues may occur . The downgrade of the ICD to a pacemaker and CRT‐D to CRT‐P might be an issue since the DF‐4 connector cannot be plugged to the IS‐1 port in the header of a pacemaker or a CRT‐P, unless a DF‐4/IS‐1 adaptor becomes available.…”

Section: Discussionmentioning

confidence: 99%