Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-04-2015 | Review Article | Uitgave 4/2015 Open Access

Netherlands Heart Journal 4/2015

Managing patients with advisory defibrillator leads: what can we learn from published data?

Tijdschrift:
Netherlands Heart Journal > Uitgave 4/2015
Auteurs:
F. A. Bracke, B. M. van Gelder

Abstract

Defibrillator lead advisories stir a lot of emotions, both with patients and physicians, and this may influence lead management. We reviewed the literature for a more evidence-based approach to this issue.
From the complications of two of the current advisory leads, the Medtronic Sprint Fidelis and St. Jude Riata leads, and the consequences of possible interventions, we can conclude that a restrained approach to premature replacement is appropriate. It may be opportune to replace the leads during a scheduled generator replacement in case of a higher electrical failure rate, in order to prevent future premature interventions.
We found no support to extract non-functional advisory leads. In contrast, extraction is often more demanding than anticipated, and the risk substantially exceeds that of simply abandoning the leads.

Onze productaanbevelingen

Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Literatuur
Over dit artikel

Andere artikelen Uitgave 4/2015

Netherlands Heart Journal 4/2015 Naar de uitgave