Transvenous Implantable Cardioverter-Defibrillator Leads

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Risk of failure of transvenous implantable cardioverter-defibrillator leads.

BACKGROUND Despite the positive effect on mortality in selected patients, implantable cardioverter-defibrillator therapy is also associated with potential malfunction of the implanted system. The present study provides the long-term lead failure rate in a large single-center cohort. METHODS AND RESULTS Since 1992, a total of 2068 implantable cardioverter-defibrillator patients with 2161 defib...

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Transvenous implantable cardioverter-defibrillator leads: the weakest link.

Transvenous implantable cardioverter-defibrillator (ICD) lead development was an important advance in arrhythmia management. Their evolution has been critical to the wide acceptance of ICDs for the treatment of ventricular arrhythmias and the prevention of sudden cardiac death. Indeed, it is unlikely that the 20-fold increase in annual ICD implants observed during the past 15 years would have o...

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Subcutaneous implantable cardioverter-defibrillator placement in a patient with a preexisting transvenous implantable cardioverter-defibrillator

Introduction The subcutaneous implantable cardioverter-defibrillator (S-ICD) is a safe and effective treatment for prevention of sudden cardiac death. It is typically not used in patients who require additional therapies conferred by transvenous implantable cardioverter-defibrillator (TV-ICD) systems, such as bradycardia pacing or antitachycardia pacing (ATP) for ventricular tachycardia (VT). D...

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Transvenous Implantable Cardioverter-Defibrillator Lead Reliability: Implications for Postmarket Surveillance

BACKGROUND As implantable cardioverter-defibrillator technology evolves, clinicians and patients need reliable performance data on current transvenous implantable cardioverter-defibrillator systems. In addition, real-world reliability data could inform postmarket surveillance strategies directed by regulators and manufacturers. METHODS AND RESULTS We evaluated Medtronic Sprint Quattro, Boston...

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Forces Applied during Transvenous Implantable Cardioverter Defibrillator Lead Removal

METHODS 17 physicians, experienced in transvenous lead removal, performed a lead extraction manoeuvre of an ICD lead on a torso phantom. They were advised to stop traction only when further traction would be considered as harmful to the patient or when--based on their experience--a change in the extraction strategy was indicated. Traction forces were recorded with a digital precision gauge. R...

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ژورنال

عنوان ژورنال: Circulation

سال: 2007

ISSN: 0009-7322,1524-4539

DOI: 10.1161/circulationaha.107.698597