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Comparison of results with different left ventricular pacing leads
- Source :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology. 10(1)
- Publication Year :
- 2007
-
Abstract
- Aims To compare different coronary sinus (CS) leads and delivery systems (DSs) for left ventricular pacing. Methods and results Delivery systems-related (including CS dissection and dislocations during sheath/stylet removal) and lead-related (including failure to accomplish implantations and long-term malfunctions resulting in abandonment or repositioning/replacing of the lead) complications between systems and leads were compared. We used Medtronic (MDT) attain® DS ( n = 123) with over-the-wire (OTW) (4193, 4194) and stylet-driven (2187) leads, and Guidant (GDT)® DS ( n = 126) with Easytrak OTW leads (4513, 4518, and 4525). Coronory sinus dissection occurred in 6/123 (5%) cases using the MDT DS vs. 7/126 (6%) with GDT DS ( P = NS). Dislocations during sheath/stylet removal occurred in 8/123 cases (6%) with MDT DS, and in 8/126 (6%) with GDT DS ( P = NS). Failure to achieve successful implantation occurred in 6/32 (19%) of the 2187 leads, in 11/87(13%) of the 4193/4194 leads, in 7/94(7%) of the 4513/4518 leads, and in 4/29 (14%) of the 4525 leads ( P = NS). Long-term lead-related complications occurred in 5/32 (15%) of the 2187 leads, 19/80 (23%) of the 4193/4194 leads, 19/93 (20%) of the 4513/4518 leads, and 2/28 (7%) of the 4525 leads ( P = NS). Conclusion No significant differences in complication rates between systems and leads were observed.
- Subjects :
- Male
medicine.medical_specialty
Pacemaker, Artificial
medicine.medical_treatment
Heart Ventricles
Cardiac resynchronization therapy
Foreign-Body Migration
Physiology (medical)
Internal medicine
medicine
Humans
Implantation procedure
Bone Wires
Lead (electronics)
Coronary sinus
Aged
Aged, 80 and over
Heart Failure
business.industry
Cardiac Pacing, Artificial
Coronary Sinus
Equipment Design
Ventricular pacing
Middle Aged
Stylet
Cardiology
Equipment Failure
Female
Cardiology and Cardiovascular Medicine
business
Complication
Follow-Up Studies
Subjects
Details
- ISSN :
- 15322092
- Volume :
- 10
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
- Accession number :
- edsair.doi.dedup.....0698d40089c9d1d9f16fed52a64cd69c