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Ann Thorac Surg 1983;36:328-331
© 1983 The Society of Thoracic Surgeons
From the Section of Cardiovascular, Vascular, and General Surgery and the Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, MN
Accepted for publication December 23, 1982.
* Address reprint requests to Dr. Walls, Section of Publications, Mayo Clinic, Rochester, MN 55905
Chronic threshold changes and durability of the Medtronic 6917 sutureless cardiac pacing lead were evaluated in 100 consecutive patients. A bipolar pacing system was established in each patient. Lead failure occurred in 4 patients; all failures resulted from exit block or loss of adequate contact between electrode and myocardium. Electrode fracture or loss of lead insulation was not observed. Fifty patients had replacement of the pulse generator 27.4 ± 1.8 months after implantation. Long-term stimulation threshold voltage was about 2.5 times greater and current was about 3.5 times greater than values obtained at initial implantation, yet they continued to permit safe and effective cardiac pacing.
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