Is the use of an additional pace/sense lead the optimal strategy for the avoidance of lead extraction in defibrillation lead failure? a single-centre experience
Is the use of an additional pace/sense lead the optimal strategy for the avoidance of lead extraction in defibrillation lead failure? a single-centre experience
Aims - The implantation of an additional pace-sense (P/S) lead is a standard treatment option in the management of an isolated pace-sense problem in a defibrillation (HV-P/S) lead. However, the safety of this management strategy is unclear. We performed a retrospective single-centre study to assess this.
Methods - and results We studied all patients with an isolated P/S problem in an HV-P/S lead, treated with an additional P/S lead, in our institution. The need for further invasive intervention for a lead-related complication, or death during follow-up, was assessed. From 2000 to 2008, 45 patients were treated with an additional P/S lead. Mean follow-up was 78 ± 38 months from original device implantation and 28 ± 17 months following implantation of the additional lead. During follow-up, three patients required an invasive intervention for a lead-related problem. All were successfully treated with lead extraction and device re-implantation. There were five deaths. Following implant of an additional lead, cumulative survival from further lead defects after 6 months, 1, 2, and 3 years was 100, 100, 93, and 87%, respectively.
Conclusion - In the treatment of an isolated P/S problem in an HV-P/S lead, the placement of an additional P/S lead is a safe management strategy, at least in the short term
implantable cardioverter defibrillators, lead, failure, complications, defibrillation
522-526
Scott, Paul A.
5a16b1f4-74d3-473f-9eeb-c2a823d690dc
Chungh, Aman
8f6ab764-8839-4795-8625-efc7d414182a
Zeb, Mahmood
ae7aaa73-13ac-4d40-b211-60d9b225c1fa
Yue, Arthur M.
4040f8ec-0252-49e0-b838-58f37956acd2
Roberts, Paul R.
193431e8-f9d5-48d6-8f62-ed9052b2571d
Morgan, John M.
ac98099e-241d-4551-bc98-709f6dfc8680
24 December 2009
Scott, Paul A.
5a16b1f4-74d3-473f-9eeb-c2a823d690dc
Chungh, Aman
8f6ab764-8839-4795-8625-efc7d414182a
Zeb, Mahmood
ae7aaa73-13ac-4d40-b211-60d9b225c1fa
Yue, Arthur M.
4040f8ec-0252-49e0-b838-58f37956acd2
Roberts, Paul R.
193431e8-f9d5-48d6-8f62-ed9052b2571d
Morgan, John M.
ac98099e-241d-4551-bc98-709f6dfc8680
Scott, Paul A., Chungh, Aman, Zeb, Mahmood, Yue, Arthur M., Roberts, Paul R. and Morgan, John M.
(2009)
Is the use of an additional pace/sense lead the optimal strategy for the avoidance of lead extraction in defibrillation lead failure? a single-centre experience.
Europace, 12 (4), .
(doi:10.1093/europace/eup406).
Abstract
Aims - The implantation of an additional pace-sense (P/S) lead is a standard treatment option in the management of an isolated pace-sense problem in a defibrillation (HV-P/S) lead. However, the safety of this management strategy is unclear. We performed a retrospective single-centre study to assess this.
Methods - and results We studied all patients with an isolated P/S problem in an HV-P/S lead, treated with an additional P/S lead, in our institution. The need for further invasive intervention for a lead-related complication, or death during follow-up, was assessed. From 2000 to 2008, 45 patients were treated with an additional P/S lead. Mean follow-up was 78 ± 38 months from original device implantation and 28 ± 17 months following implantation of the additional lead. During follow-up, three patients required an invasive intervention for a lead-related problem. All were successfully treated with lead extraction and device re-implantation. There were five deaths. Following implant of an additional lead, cumulative survival from further lead defects after 6 months, 1, 2, and 3 years was 100, 100, 93, and 87%, respectively.
Conclusion - In the treatment of an isolated P/S problem in an HV-P/S lead, the placement of an additional P/S lead is a safe management strategy, at least in the short term
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Published date: 24 December 2009
Keywords:
implantable cardioverter defibrillators, lead, failure, complications, defibrillation
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Local EPrints ID: 151035
URI: http://eprints.soton.ac.uk/id/eprint/151035
ISSN: 1099-5129
PURE UUID: 77a0a9da-da7e-478a-96cd-239ee154cf2d
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Date deposited: 07 May 2010 08:40
Last modified: 14 Mar 2024 01:19
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Author:
Paul A. Scott
Author:
Aman Chungh
Author:
Mahmood Zeb
Author:
Arthur M. Yue
Author:
Paul R. Roberts
Author:
John M. Morgan
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