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Encouraging news for Durata lead patients! Please read!

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  • Encouraging news for Durata lead patients! Please read!

    http://www.startribune.com/business/210658691.html

    St. Jude's Durata lead backed by doctor who found flaws with earlier heart device

    I'm quite thrilled by this piece as to date its seemed anything positive was funded by St. Jude Medical, this appears to be independent. Any have any thoughts?
    Family history of HCM
    St Jude Fortify with Durata Lead installed Feb 1st 2012
    34 Years Old

  • #2
    Re: Encouraging news for Durata lead patients! Please read!

    Originally posted by fortifydurata View Post
    http://www.startribune.com/business/210658691.html

    St. Jude's Durata lead backed by doctor who found flaws with earlier heart device

    I'm quite thrilled by this piece as to date its seemed anything positive was funded by St. Jude Medical, this appears to be independent. Any have any thoughts?

    I don't think Durata is out of the woods yet, and there is a report just published in PACE about the failure of a 2-year-old Durata (below). But there's no indication that Durata will fail at the rate the earlier leads did. And it's easier these days to keep getting the lead checked. So -- what's the saying? don't worry but keep an eye out?

    Implantable cardioverter defibrillator leads are susceptible to insulation degradation and conductor fracture. Recently a novel material was introduced in an effort to minimize insulation defects. A 2-year-old Durata (St. Jude Medical, Sylmar, CA, USA) dual-coil defibrillator lead was found to have elevated pacing impedances. There were no abnormalities fluoroscopically. The lead was removed with manual traction and was seen to have abrasion of the outer layer of insulation proximal to the suture sleeve (Fig. 1). There was no unusual manipulation of the lead and electrocautery was not used in the area where the insulation breach was noted.

    Despite recent advances in insulation material chemistry, this image illustrates that defibrillator leads remain susceptible to outer insulation abrasions. While the actual mechanism in this case is unclear, it is unlikely secondary to electrocautery or physical interaction with the pulse generator as the device was remote to the area affected. We emphasize that this observation does not imply the risk of lead malfunction that has been described in the Riata family of leads. Further experience with the Durata lead is necessary including observations accompanying device revisions to determine if our observation is unique. Additionally, this example illustrates that visual abnormalities of the lead (insulation failure) may be incidental to the electrical abnormality prompting extraction (elevated pacing impedances).

    (from: http://onlinelibrary.wiley.com/doi/1...jce.12056/full

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