Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads

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Coronary Sinus Lead Removal: A Comparison between Active and Passive Fixation Leads.

BACKGROUND Implantation of coronary sinus (CS) leads may be a difficult procedure due to different vein anatomies and a possible lead dislodgement. The mode of CS lead fixation has changed and developed in recent years. OBJECTIVES We compared the removal procedures of active and passive fixation leads. METHODS Between January 2009 and January 2014, 22 patients at our centre underwent CS lea...

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Removal of a chronically implanted active-fixation coronary sinus pacing lead using the Cook Evolution(C) lead extraction sheath.

Case report An 80-year-old man with an implanted resynchronization therapy pacemaker device was referred to our institution in October 2011 to perform a transvenous lead and generator removal for a severe pocket infection. As left ventricular pacing lead, an unipolar activefixation coronary sinus (CS) lead (Attain StarFix 4195OTW,Medtronic Inc.), positioned in a lateral coronary vein, had been ...

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Overcoming an impossible anatomy with a novel left ventricular active fixation lead in the coronary sinus: A case report

Introduction Cardiac resynchronization therapy (CRT) has proved to be beneficial for patients with moderate-to-severe heart failure with prolonged QRS duration and reduced left ventricular ejection fraction. Placement of a left ventricular (LV) lead in an adequate location has been shown to increase response to CRT but can become a complex procedure because of challenging coronary vein anatomie...

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A long-term, prospective, cohort study on the performance of right ventricular pacing leads: comparison of active-fixation with passive-fixation leads

Active-fixation pacing leads allow the use of selective pacing sites. We evaluated their long-term performance versus passive-fixation leads in 199 newly implanted patients (n = 100 active and n = 99 passive). Postoperative pacing thresholds in the active group were higher than in the passive group (0.85 ± 0.31 V vs. 0.53 ± 0.21 V at baseline, P < 0.001). The active thresholds fell to 0.72 ± 0....

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Traumatic atrial septal defect and coronary sinus to left atrium fistula from coronary sinus pacing lead removal.

CARDIAC resynchronization therapy with the placement of a left ventricular pacing electrode in the coronary sinus has been shown to be an effective treatment in selected patients with symptomatic left ventricular dysfunction. Coronary sinus leads can be removed with relative ease because of their small diameter and relatively poor fixation mechanisms. However, removal of coronary sinus electrod...

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ژورنال

عنوان ژورنال: PLOS ONE

سال: 2016

ISSN: 1932-6203

DOI: 10.1371/journal.pone.0153651