论文信息 - Avoiding damage to transvenous leads—A comparison of electrocautery techniques and two insulated electrocautery blades

Avoiding damage to transvenous leads—A comparison of electrocautery techniques and two insulated electrocautery blades

Electrocautery (cautery) can damage transvenous cardiac device leads. The purpose of this study was to compare lead damage from an insulated cautery blade when used with several different techniques that included coagulation (COAG) versus cutting (CUT) mode, perpendicular active edge (active) versus parallel flat blade (flat) orientation (phase 1), and using one commercially available blade (PhotonBlade) versus another (PlasmaBlade) (phase 2).

[1] S. Mittal,et al. Incidence and Costs Related to Lead Damage Occurring Within the First Year After a Cardiac Implantable Electronic Device Replacement Procedure , 2016, Journal of the American Heart Association.

[2] C. Steinwender,et al. An Electrical Plasma Surgery Tool for Device Replacement—Retrospective Evaluation of Complications and Economic Evaluation of Costs and Resource Use , 2015, Pacing and clinical electrophysiology : PACE.

[3] Ellen Aagaard Nohr,et al. Complications after cardiac implantable electronic device implantations: an analysis of a complete, nationwide cohort in Denmark , 2013, European heart journal.

[4] M. Chung,et al. Complication Rates Associated With Pacemaker or Implantable Cardioverter-Defibrillator Generator Replacements and Upgrade Procedures: Results From the REPLACE Registry , 2010, Circulation.

[5] B. Knight,et al. Effects of Electrocautery on Transvenous Lead Insulation Materials , 2009, Journal of cardiovascular electrophysiology.