Incidence of lead system malfunction detected during implantable defibrillator generator replacement

被引:12
作者
Goyal, R [1 ]
Harvey, M [1 ]
Horwood, L [1 ]
Bogun, F [1 ]
Castellani, M [1 ]
Chan, KK [1 ]
Daoud, E [1 ]
Niebauer, M [1 ]
Man, KC [1 ]
Morady, F [1 ]
Strickberger, SA [1 ]
机构
[1] UNIV MICHIGAN,MED CTR,DEPT INTERNAL MED,DIV CARDIOL,ANN ARBOR,MI 48109
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 1996年 / 19卷 / 08期
关键词
sudden cardiac death; ventricular tachycardia; ventricular fibrillation;
D O I
10.1111/j.1540-8159.1996.tb04183.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Implantable cardioverter-defibrillator (ICD) generator replacement due to a depleted battery is a frequently performed procedure. The frequency with which sensing and defibrillation system failures are identified during device replacement procedures has not been previously described. Therefore, the purpose of this study was to prospectively determine the frequency of lead system malfunction detected at the time of device replacement in 55 consecutive patients undergoing ICD generator replacement. The mean age of the patients was 63 +/- 10 years and 40 of them were men. Forty-nine patients had an epicardial lead system, and six patients had a nonthoracotomy lead system. Four (7%) of these 55 patients were noted to have previously undetected lead system failure, either sensing (n = 3) or defibrillation (n = 1), necessitating system revision. The lead systems that failed were 40 +/- 6 months old (33-49 months). In summary, during ICD generator replacement, previously undetected problems with sensing or defibrillation may be identified in approximately 10% of patients. Therefore, a comprehensive evaluation of the sensing and the defibrillation functions should be an essential component of the ICD generator replacement procedure.
引用
收藏
页码:1143 / 1146
页数:4
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