“Add-on pacing lead”: An effective and safe alternative to lead replacement in ICD pacing failure

Despite recent advances in implantable cardioverter defibrillator (ICD) technology, the long-term reliability of ICD leads remains a significant problem. Lead failures constitute a major risk for patients with an implantable cardioverter defibrillator. There is no clear consensus on treatment strate...

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Bibliographic Details
Main Authors: Sudeep Kumar, Nagaraja Moorthy, Aditya Kapoor
Format: Article
Language:English
Published: Elsevier 2012-07-01
Series:Indian Heart Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0019483212000417
Description
Summary:Despite recent advances in implantable cardioverter defibrillator (ICD) technology, the long-term reliability of ICD leads remains a significant problem. Lead failures constitute a major risk for patients with an implantable cardioverter defibrillator. There is no clear consensus on treatment strategy of ICD lead failure and decision should be individualized. We report a pacing-dependent elderly male with ICD lead pacing failure secondary to insulation break resulting in recurrent syncope. We emphasize the technique of “Add-on pacing lead implantation” could be an effective and alternative to ICD lead replacement.
ISSN:0019-4832