Early detection of lead fracture by painless high voltage lead impedance measurement in a transvenous ICD lead system

被引：14

作者：

Stevens, J

Buchwald, B

Krieglstein, H

Unterberg, C

机构：

[1] Univ Hosp Goettingen, Dept Cardiol & Pneumol, D-37075 Gottingen, Germany

[2] Medtron Inc, Duesseldorf, Germany

来源：

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY | 2000年 / 4卷 / 01期

关键词：

ICD lead fracture; painless lead impedance; early detection;

D O I：

10.1023/A:1009886117378

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report the case of a 69 year old patient, who underwent transvenous implantable cardioverter defibrillator (ICD) device change (Medtronic GEM VR 7227 Cx Active Can) because the ICD reached its replacement indicators. Preoperative chest X-ray and intraoperative defibrillation threshold tests and high voltage impedance did not show lead fracture of the five year old lead (Transvene 6936-68). At the second postoperative day the alarm of the newly implanted ICD device was activated because of high impedance in the painless lead impedance measurement (PLI) and the lead was replaced. The explanted lead showed a fracture detectable only by PLI.

引用

页码：269 / 272

页数：4

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