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Ann Thorac Surg 1993;55:888-892
© 1993 The Society of Thoracic Surgeons

Articles

Long-term complications of implantable cardioverter defibrillator lead systems

G.Hossein Almassi, MD*, Gordon N. Olinger, MD, Jule N. Wetherbee, MD, Gary Fehl, PA-C

Department of Cardiothoracic Surgery and Division of Cardiology, Medical College of Wisconsin, Milwaukee, Wisconsin USA

Accepted for publication July 16, 1992.

* Address reprint requests to Dr Almassi, Department of Cardiothoracic Surgery, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226.

Over a period of 8.5 years in 255 patients with fullsystem implantable cardioverter defibrillators, leadspecific complications requiring reoperation developed in 32 patients. A total of 36 leads were affected. Lead fracture was the cause of failure in half of these patients. Refinement and improvement in structural designs of these leads, use of endocardial leads, and attention to technical details during implantation should decrease the incidence of these complications.




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