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Effectiveness of single- vs dual-coil implantable defibrillator leads: An observational analysis from the SIMPLE study.

Jörg NeuznerStefan H HohnloserValentina KutyifaMichael GliksonThomas DietzePhilippe MaboXavier VinolasJosef KautznerGilles O'HaraThomas LawoJohannes BrachmannLiselot VanErvenFredrik GadlerUrsula ApplJia WangStuart J ConnollyJeff S Healey
Published in: Journal of cardiovascular electrophysiology (2019)
In this nonrandomized evaluation, there was no overall difference in defibrillation efficacy, safety, outcome, and complication rates between SC-leads and DC-leads. However, DC-leads were associated with a reduction in the composite of failed appropriate shock or arrhythmic death in the subgroup of non-HF patients. Considering riskier future lead extraction with DC-leads, SC-leads appears to be preferable in the majority of patients.
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