Arrhythmia/EP
Riata Summit insights: Vigilance key to following functional but "recalled" ICD leads
Jan 27, 2012 10:00 EST
UPDATED // Most attending the recent Riata ICD lead summit felt that fluoroscopic screening of Riata recipients was a reasonable thing to do, at odds with some recommendations; remote monitoring has its limits here, say VA data.

Minneapolis, MN (updated) - A tsunami can be barely visible above the water as it hurtles a potentially overwhelming wave of energy from below the surface. Are clinicians and patients facing a similar situation in the exposed wires and other issues coming to light with the "recalled" St Jude Medical Riata or Riata ST implantable cardioverter defibrillator (ICD) leads, the ones featuring all-silicone insulation?

"There are still many unknown issues about the lead problem. Physicians need to balance [protecting] their patients' safety against the risks of generating anxiety and causing physical harm through discretionary lead extraction," according to Dr Ernest Lau (Royal Victoria Hospital, Belfast, UK), who emailed comments to heartwire. At the summit, Lau presented Riata follow-up data based on all Riata patients in Northern Ireland.
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