Incidence and Management for Trouble-Shooting Associated with the Sprint-Fidelis ICD Lead
スポンサーリンク
概要
- 論文の詳細を見る
<B>Method:</B> We investigated the outcomes of 136 patients with Sprint-Fidelis in 5 centers in Niigata Prefecture. <B>Results Incidence:</B> Lead troubles occurred in 9 patients (6.6%). The mean period before the trouble was 31 months (16–57 months). <B>Implantation:</B> Among these 9 patients, the lead was implanted using a cut-down technique in 4, an extra-thoracic approach in 4 and a subclavian approach in 1. <B>Discovery:</B> The lead troubles in 5 were discovered at regular clinics. The other 4 patients emergently visited because of the lead integrity alert (LIA) or inappropriate ICD discharges. In the 9 patients, the average sensing integrity counter was 338/day and mean F-F interval, of which was recognized as NST, was less than 200 ms. <B>The LIA:</B> The LIA had been programmed in 7, and 5 of the patients visited before inappropriate ICD discharges. However, the other 2 elderly patients couldn't notice the alert sound. <B>Extraction:</B> Lead extraction was attempted in 6 and 5 leads were removable without any complications. <B>Conclusions:</B> The incidence of troubles with Sprint-Fidelis is high, and it occurs in the relatively late phase. The LIA is useful to detect the lead problems but its efficacy may be limited in elderly patients.
著者
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Watanabe Hiroshi
the First Department of Internal Medicine
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Furushima Hiroshi
The First Department of Internal Medicine, Niigata University School of Medicine
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Hosaka Yukio
The First Department of Internal Medicine, Niigata University School of Medicine
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CHINUSHI Masaomi
the First Department of Internal Medicine, Niigata University School of Medicine
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Sato Masahito
Tachikawa General Hospital
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Furushima Hiroshi
The First Department Of Internal Medicine Niigata University School Of Medicine
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IIJIMA Kenichi
The First Department of Internal Medicine, Niigata University School of Medicine
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IZUMI Daisuke
The First Department of Internal Medicine, Niigata University School of Medicine
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SATO Akinori
The First Department of Internal Medicine, Niigata University School of Medicine
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Sato Akinori
The First Department Of Internal Medicine Niigata University School Of Medicine
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EBE Katsuya
The First Department of Internal Medicine,Niigata University
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Shimizu Hiroshi
The First Department Of Internal Medicine Kobe University School Of Medicine
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Aizawa Yoshifusa
The First Department Of Internal Madicine Niigata University School Of Medicine
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Takahashi Kazuyoshi
Tachikawa Medical Center
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Sato Masahito
Tachikawa Medical Center
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Chinushi Masaomi
The First Department of Internal Medicine, Niigata University of Medicine
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Ebe Katsuya
The First Department of Internal Medicine, Niigata University School of Medicine
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Izumi Daisuke
The First Department of Internal Medicine, Niigata University of Medicine
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Iijima Kenichi
The First Department of Internal Medicine, Niigata University of Medicine
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Shimizu Hiroshi
The First Department of Internal Medicine, Niigata University School of Medicine
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