Long-Term Follow-up of Transvenous Defibrillation Leads : High Incidence of Fracture in Coaxial Polyurethane Lead
スポンサーリンク
概要
- 論文の詳細を見る
Background As a result of longer follow-up after implantation of cardioverter defibrillators (ICD), fatigue of the leads has become a concern. The aim of this study was to determine the incidence and clinical presentation of ICD lead failures. Methods and Results The study population consisted of 241 patients with 249 ICD leads who underwent implantation of an ICD with a transvenous lead system. After device implantation, the patients were routinely followed up every 4 months. Five lead failures (2.0%) occurred as an oversensing of artifact during the follow-up period (2.6±2.1 years); 4 of those 5 patients received inappropriate shocks and 1 case of lead failure was identified in a patient with frequent episodes of non-sustained ventricular fibrillation. In particular, the right ventricular polyurethane transvenous lead in the Medtronic model 6936 failed in 4 (13%) of 31 cases. Percutaneous lead extraction was not available in all cases, so an additional ICD lead was inserted through the same site of the subclavian vein. Conclusions Lead failures may occur 5 years after ICD implantation and polyurethane leads have an especially high incidence of failure. However, there were no follow-up parameters observed that predicted lead failures.
- 社団法人日本循環器学会の論文
- 2006-02-20
著者
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Shimizu Wataru
Department of Cardiology, National Cardiovascular Center
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Kamakura Shiro
Department Of Cardiovascular Surgery National Cardiovascular Center
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Satomi Kazuhiro
Department Of Cardiovascular Medicine National Cardiovascular Center
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Aihara Naohiko
Department Of Cardiovascular Medicine National Cardiovascular Center
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Kobayashi Junjiro
Department of Cardiac Surgery, National Cardiovascular Center
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Kurita Takashi
Department of Cardiovascular Medicine, National Cardiovascular Center
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Suyama Kazuhiro
Department of Cardiology, National Cardiovascular Center
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Kobayashi Junjiro
National Cardiovascular Center
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Niwaya Kazuo
Department of Organ Transplantation
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Niwaya Kazuo
Department Of Cardiovascular Surgery National Cardiovascular Center
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Nishigami Kazuhiro
Department Of Cardiology National Cardiovascular Center
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Satomi Kazuhiro
Department Of Arrhythmia And Electrophysiology National Cerebral And Cardiovascular Center
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Kamakura Shiro
Department Of Cardiology National Cardiovascular Center
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Shimizu Wataru
Department Of Biotechnology Faculty Of Engineering Nagoya University
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Kitamura Satoko
Department of Cardiology, National Cardiovascular Center
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Kobayashi Junjiro
Department Of Applied Physics School Of Science And Engineering Waseda University
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Nishigami Kazuhiro
Division Of Cardiovascular Medicine National Cardiovascular Center
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Kurita Takashi
Department Of Cardiovascular Medicine National Cerebral And Cardiovascular Research Center
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Nishigami Kazuhiro
National Cardiovascular Center Research Institute
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Kurita Takashi
Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine
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Kurita Takashi
Department Of Cardiovascular Dynamics National Cerebral And Cardiovascular Center Research Institute
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Aihara Naohiko
Department of Cardiology, National Cerebral and Cardiovascular Center
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