Leads for the ICD

Nelson, Randall; Gilman, Byron L.; Shapland, J. Edward; Lehmann, Michael H.

doi:10.1007/978-1-4615-6345-7_9

Cited by 8 publications

(5 citation statements)

References 59 publications

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“…Much of the wide acceptance of the AICD as a routine therapy in patients at risk for sudden cardiac death has been made possible through advances in lead technology and the waveforms delivered through them (64). Defibrillation thresholds, a measure of the efficacy of a system at terminating fibrillation, have consistently been lowered.…”

Section: Leadsmentioning

confidence: 99%

“…The materials requirements for both the sensing and shocking electrodes are stringent (64). They must provide both mechanical and electrical integrity and must be designed to last many years without failure.…”

Section: Leadsmentioning

confidence: 99%

“…In addition to the leads to deliver the defibrillation current to the heart, the automatic delivery of therapy requires an electrode (or some other sensor) that provides a signal to detect the presence of fibrillation and a lead for pacing. All of these electrodes can be on single-or multiple-catheter systems (64).…”

Section: Leadsmentioning

confidence: 99%

“…The shocking electrodes must have low resistance to deliver the large currents necessary for defibrillation. A large variety of conductor designs have been used for these devices (64).…”

Section: Leadsmentioning

confidence: 99%

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Automatic Implantable Cardioverter-defibrillators

Smith

Ideker²

1999

Annu. Rev. Biomed. Eng.

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Ventricular fibrillation, a loss of synchronous electrical activity in the heart which leads to hemodynamic collapse, is a leading cause of death. Because of the devastating personal and societal effects of this phenomenon, the automatic cardioverter-defibrillator has been developed for automatic detection and termination of the arrhythmia and is in widespread clinical use. Advances in circuits, leads, waveforms, and signal processing along with increased knowledge of the mechanisms of fibrillation have led to continuing improvements in this device, extending its use to many patients. A device has also been developed for the automatic or semiautomatic treatment of atrial fibrillation, an arrhythmia less life-threatening than ventricular fibrillation, but still a serious health problem. Continued improvement of these devices and the development of qualitatively new approaches hold great promise for exciting therapeutic advances in this area.

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Section: Leadsmentioning

confidence: 99%

Section: Leadsmentioning

confidence: 99%

Section: Leadsmentioning

confidence: 99%

“…The shocking electrodes must have low resistance to deliver the large currents necessary for defibrillation. A large variety of conductor designs have been used for these devices (64).…”

Section: Leadsmentioning

confidence: 99%

See 2 more Smart Citations

Automatic Implantable Cardioverter-defibrillators

Smith

Ideker²

1999

Annu. Rev. Biomed. Eng.

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show abstract

“…Lead dislodgment or migration remains a significant complication and has been reported in up to 10% of ICD implants 1,2 . Lead insulation breaks or fractures have been reported in up to 3.1% of implants and may be anticipated in more than 5% of implants during long‐term follow‐up 3 . A recent study has indicated an even higher rate in chronic lead complications that is nearly 20% in 10‐year‐old leads 4 .…”

Section: Introductionmentioning

confidence: 99%