Key result
Assessment of 315 transvenous pacing leads over 3 years showed that screw-in atrial and short tined ventricular leads virtually eliminated lead displacement.
Why the study?
Do modern transvenous pacing leads reduce lead displacement and related problems in permanent cardiac pacing?
Observational (n=315)
Do modern transvenous pacing leads reduce lead displacement and related problems in permanent cardiac pacing?
Modern screw-in atrial and short tined ventricular leads virtually eliminate lead displacement in permanent cardiac pacing.
May inform lead selection to minimize displacement; Level 5 data leaves open need for randomized confirmation.
Three hundred and fifteen transvenous pacing leads of various modern designs have been assessed over a period of three years. Of these, 103 were implanted in the atrium and 212 in the ventricle. Screw-in leads in the right atrial appendage and short tined leads in the ventricle have resulted in the virtual elimination of lead displacement, and a very low incidence of other lead related problems. In two lead systems it has been found advantageous to have both leads constructed of urethane.
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Perrins et al. (1981) conducted an observational in Permanent cardiac pacing (n=315). Transvenous pacing leads (screw-in atrial and short tined ventricular leads) was evaluated on Lead displacement and other lead-related problems. Assessment of 315 transvenous pacing leads over 3 years showed that screw-in atrial and short tined ventricular leads virtually eliminated lead displacement.
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