Feasibility and initial results of an Internet-based pacemaker and ICD pulse generator and lead registry

Robert Hauser, David Hayes, Victor Parsonnet, Seymour Furman, Andrew Epstein, John Hayes, Sanjeev Saksena, Marleen Irwin, Adrian Almquist, David Cannom, J. A.Y. Gross, Linda Kallinen

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

The medical community has no independent source of timely information regarding the performance of pacemaker and ICD pulse generators and leads. Accordingly, the authors established an Internet-based registry of pacemaker and ICD pulse generator and lead failures (www.pacerandicregistry.com). During the first year, they found three previously unreported device problems that were promptly communicated to the participants. Of the failures reported, 11% of ICD and 10% of pacemaker pulse generator failures were heralded by signs other than the expected elective replacement indicator (ERI). Average ICD battery longevity was 4.0 ± 0.7 years, and average duel chamber pacemaker battery longevity was 6.8 ± 2.6 years. Disrupted insulation accounted for 54% of pacemaker and 29% of ICD lead failures. Compared to pacemaker pulse generator and lead failure, ICD device failures were more likely to cause severe clinical consequences. In conclusion, an Internet-based registry is feasible and capable of providing timely data regarding the signs, causes, and clinical consequences of pacemaker end ICD fuilures.

Original languageEnglish (US)
Pages (from-to)82-87
Number of pages6
JournalPACE - Pacing and Clinical Electrophysiology
Volume24
Issue number1
DOIs
Publication statusPublished - Jan 1 2001

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Keywords

  • Implantable cardioverter defibrillator
  • Leads
  • Pacemaker
  • Registry

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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