Avoiding damage to transvenous leads-A comparison of electrocautery techniques and two insulated electrocautery blades
| Autor: | Bradley P. Knight, Robert D. Schaller, Eric K.Y. Chan, Fermin C. Garcia, Natasha M. Jarett, Jeremiah Wasserlauf, Taiki Esheim |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pacemaker
Artificial Polymers Polyurethanes Silicones 030204 cardiovascular system & hematology In Vitro Techniques 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Silicone Materials Testing Electrocoagulation Medicine Animals 030212 general & internal medicine Power output Lead (electronics) Cardiac device Device Removal business.industry Active edge General Medicine Equipment Design Transvenous lead Defibrillators Implantable Equipment Failure Analysis chemistry Equipment Failure Cardiology and Cardiovascular Medicine business Nuclear medicine Chickens |
| Zdroj: | Pacing and clinical electrophysiology : PACE. 41(12) |
| ISSN: | 1540-8159 |
| Popis: | BACKGROUND Electrocautery (cautery) can damage transvenous cardiac device leads. The purpose of this study was to compare lead damage from an insulated cautery blade when used with several different techniques that included coagulation (COAG) versus cutting (CUT) mode, perpendicular active edge (active) versus parallel flat blade (flat) orientation (phase 1), and using one commercially available blade (PhotonBlade) versus another (PlasmaBlade) (phase 2). METHODS In phase 1, lesions were delivered using combinations of: (1) COAG and CUT; (2) active and flat orientation; and (3) polyurethane, silicone, and copolymer insulation. In phase 2, lesions were delivered using combinations of: (1) PlasmaBlade and PhotonBlade, (2) four power output levels, and (3) eight different lead models. Lead damage was scored on an ordinal scale of 0 to 4. RESULTS Phase 1: more leads were damaged using COAG than CUT (48% vs 2%, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text