Premium
Comparison of Lead Complications with Polyurethane Tined, Silicone Rubber Tined, and Wedge Tip Leads: Clinical Experience with 822 Ventricular Endocardial Leads
Author(s) -
KERTES PAUL,
MONO HARRY,
SLOMAN GRAEME,
VOHRA JITU,
HUNT DAVID
Publication year - 1983
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1983.tb04419.x
Subject(s) - medicine , silicone rubber , lead (geology) , wedge (geometry) , polyurethane , silicone , cardiology , surgery , composite material , optics , materials science , physics , geomorphology , geology
Lead‐related complications have been prospectively studied for 602 unipolar tined endocardial ventricular pacemaker leads implanted over a five‐year period. No differences were noted in overall complication rates between 238 polyurethane insulated leads (4.2%) and 364 silicone rubber insulated leads (3.6%). Comparing the total series of 602 tined leads to a retrospective survey of 220 wedge tip leads, a marked reduction in dislodgements (0.3% vs. 7.7%, P<0.001) and reoperations (2.0% vs. 15.0%, P<0.001) was found using tined leads. We conclude that tined ventricular leads are far superior to wedge tip leads with respect to lead complications.