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. 2023 Nov 18;4(12):820-822.
doi: 10.1016/j.hroo.2023.11.009. eCollection 2023 Dec.

Mechanisms of damage related to ICD and pacemaker lead interaction

Parash Pokharel  1 , Ankit Mahajan  1 , Adam Himes  2 , Meg Lowell  2 , Richard Budde  2 , Pugazhendhi Vijayaraman  1
Affiliations

Mechanisms of damage related to ICD and pacemaker lead interaction

Parash Pokharel et al. Heart Rhythm O2. .
No abstract available

Keywords: Cardiac lead; Conduction fracture; Conductor fracture; Insulation damage; Lead-lead interaction; Left bundle area pacing.

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Figures

Figure 1
Figure 1
Bench test configuration with the implantable cardioverter-defibrillator (ICD) lead (test 1; top) or pacing lead (test 2; bottom) in motion (left), in vivo lead interaction and assumed motion (middle), and in vitro and explanted lead results (right). Radiographic and explanted lead images were modified from references 1 and 2, used with permission.
See this image and copyright information in PMC

References

    1. Sato T., Soejima K., Yoshino H., Shoda M. Unusual fracture in a Durata lead with shock coil fragmentation and cable externalization. HeartRhythm Case Rep. 2017;3:327–331. - PMC - PubMed
    1. Mahajan A., Pokharel P., Vijayaraman P. Lead-to-lead interaction leading to left bundle branch area pacing lead failure. HeartRhythm Case Rep. 2023;9:72–75. - PMC - PubMed
    1. Himes A., Wilson C. Wear of cardiac lead outer insulation due to internal cable motion. Tribol Int. 2013;62:177–185.
    1. Chaffin K.A., Wilson C.L., Himes A.K., et al. Abrasion and fatigue resistance of PDMS containing multiblock polyurethanes after accelerated water exposure at elevated temperature. Biomaterials. 2013;34:8030–8041. - PubMed
    1. Placette M.D., Himes A.K., Schwartz C.J. Investigation of wear mechanisms in silicone sleeved implantable cardiac device leads using an in vitro approach. Biotribology. 2019;17:40–48.

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