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Cardiac Lead Insulation Failure

MedGen UID:
476698
•Concept ID:
C3275065
•
Finding

Definition

Insulation failure manifests as low lead impedance either absolutely (below manufacturer''s product specifications) or by a significant decrease from previously stable chronic values. (ACC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCardiac Lead Insulation Failure

Professional guidelines

PubMed

Treatment of HeartMate II Short-to-Shield Patients With an Ungrounded Cable: Indications and Long-Term Outcomes.
Coyle L, Graney N, Gallagher C, Paliga R, Yost G, Pappas P, Macaluso G, Tatooles A
ASAIO J 2020 Apr;66(4):381-387. doi: 10.1097/MAT.0000000000001012. PMID: 31045924
Implantable Cardiac Defibrillator Lead Failure and Management.
Swerdlow CD, Kalahasty G, Ellenbogen KA
J Am Coll Cardiol 2016 Mar 22;67(11):1358-68. doi: 10.1016/j.jacc.2015.12.067. PMID: 26988958
Atrial "J" pacing lead retention wire fracture: radiographic assessment, incidence of fracture, and clinical management.
Lloyd MA, Hayes DL, Holmes DR Jr
Pacing Clin Electrophysiol 1995 May;18(5 Pt 1):958-64. doi: 10.1111/j.1540-8159.1995.tb04735.x. PMID: 7659568

Recent clinical studies

Etiology

A Review of the Recent Advances of Cardiac Pacemaker Technology in Handling Complications.
Lowe M, Nguyen L, Patel DJ
J Long Term Eff Med Implants 2023;33(4):21-29. doi: 10.1615/JLongTermEffMedImplants.2022039586. PMID: 37522582
Implantable cardioverter-defibrillator lead revision following left ventricular assist device implantation.
Black-Maier E, Lewis RK, Rehorn M, Loungani R, Friedman DJ, Frazier-Mills C, Jackson KP, Atwater BD, Milano CA, Schroder JN, Pokorney SD, Piccini JP
J Cardiovasc Electrophysiol 2020 Jun;31(6):1509-1518. Epub 2020 Apr 29 doi: 10.1111/jce.14487. PMID: 32275340
Inappropriate noise detection in Tendril family pacing leads.
Zhu DWX, Chu MM, Zager AJ, House CM, Xi M, Zhi EW, Zhu LL, Lavell KA, Nelson WB
J Cardiovasc Electrophysiol 2019 Nov;30(11):2484-2491. Epub 2019 Sep 25 doi: 10.1111/jce.14194. PMID: 31535773
Internal insulation breaches in an implantable cardioverter-defibrillator lead with redundant conductors.
Hauser RG, Sengupta J, Schloss EJ, Stanberry LI, Wananu MK, Abdelhadi R
Heart Rhythm 2019 Aug;16(8):1215-1222. Epub 2019 Feb 14 doi: 10.1016/j.hrthm.2019.02.019. PMID: 30772531
Long-term performance of bipolar epicardial atrial pacing using an active fixation bipolar endocardial lead.
Epstein MR, Walsh EP, Saul JP, Triedman JK, Mayer JE Jr, Gamble WJ
Pacing Clin Electrophysiol 1998 May;21(5):1098-104. doi: 10.1111/j.1540-8159.1998.tb00156.x. PMID: 9604242

Diagnosis

Interpreting device diagnostics for lead failure.
Swerdlow CD, Ploux S, Poole JE, Nair SG, Himes A, Ellenbogen KA
Heart Rhythm 2022 Jan;19(1):154-164. Epub 2021 Sep 28 doi: 10.1016/j.hrthm.2021.09.027. PMID: 34597770
Implantable cardioverter-defibrillator lead revision following left ventricular assist device implantation.
Black-Maier E, Lewis RK, Rehorn M, Loungani R, Friedman DJ, Frazier-Mills C, Jackson KP, Atwater BD, Milano CA, Schroder JN, Pokorney SD, Piccini JP
J Cardiovasc Electrophysiol 2020 Jun;31(6):1509-1518. Epub 2020 Apr 29 doi: 10.1111/jce.14487. PMID: 32275340
Impedance in the Diagnosis of Lead Malfunction.
Swerdlow CD, Koneru JN, Gunderson B, Kroll MW, Ploux S, Ellenbogen KA
Circ Arrhythm Electrophysiol 2020 Feb;13(2):e008092. Epub 2020 Jan 27 doi: 10.1161/CIRCEP.119.008092. PMID: 31985260
Monitoring for and Diagnosis of Lead Dysfunction.
Nair SG, Swerdlow CD
Card Electrophysiol Clin 2018 Dec;10(4):573-599. doi: 10.1016/j.ccep.2018.07.004. PMID: 30396573
Implantable Cardiac Defibrillator Lead Failure and Management.
Swerdlow CD, Kalahasty G, Ellenbogen KA
J Am Coll Cardiol 2016 Mar 22;67(11):1358-68. doi: 10.1016/j.jacc.2015.12.067. PMID: 26988958

Therapy

A Review of the Recent Advances of Cardiac Pacemaker Technology in Handling Complications.
Lowe M, Nguyen L, Patel DJ
J Long Term Eff Med Implants 2023;33(4):21-29. doi: 10.1615/JLongTermEffMedImplants.2022039586. PMID: 37522582
Implantable cardioverter-defibrillator lead revision following left ventricular assist device implantation.
Black-Maier E, Lewis RK, Rehorn M, Loungani R, Friedman DJ, Frazier-Mills C, Jackson KP, Atwater BD, Milano CA, Schroder JN, Pokorney SD, Piccini JP
J Cardiovasc Electrophysiol 2020 Jun;31(6):1509-1518. Epub 2020 Apr 29 doi: 10.1111/jce.14487. PMID: 32275340
Inappropriate noise detection in Tendril family pacing leads.
Zhu DWX, Chu MM, Zager AJ, House CM, Xi M, Zhi EW, Zhu LL, Lavell KA, Nelson WB
J Cardiovasc Electrophysiol 2019 Nov;30(11):2484-2491. Epub 2019 Sep 25 doi: 10.1111/jce.14194. PMID: 31535773
Implantable Cardiac Defibrillator Lead Failure and Management.
Swerdlow CD, Kalahasty G, Ellenbogen KA
J Am Coll Cardiol 2016 Mar 22;67(11):1358-68. doi: 10.1016/j.jacc.2015.12.067. PMID: 26988958
Radiography of cardiac conduction devices: a comprehensive review.
Aguilera AL, Volokhina YV, Fisher KL
Radiographics 2011 Oct;31(6):1669-82. doi: 10.1148/rg.316115529. PMID: 21997988

Prognosis

A Review of the Recent Advances of Cardiac Pacemaker Technology in Handling Complications.
Lowe M, Nguyen L, Patel DJ
J Long Term Eff Med Implants 2023;33(4):21-29. doi: 10.1615/JLongTermEffMedImplants.2022039586. PMID: 37522582
Lead age as a predictor for failure in pediatrics and congenital heart disease.
Whitehill RD, Chandler SF, DeWitt E, Abrams DJ, Walsh EP, Kelleman M, Mah DY
Pacing Clin Electrophysiol 2021 Apr;44(4):586-594. Epub 2021 Feb 24 doi: 10.1111/pace.14166. PMID: 33432629
Nationwide fluoroscopic screening of recalled Riata defibrillator leads in Denmark.
Larsen JM, Riahi S, Nielsen JC, Videbaek R, Haarbo J, Due KM, Theuns DA, Johansen JB
Heart Rhythm 2013 Jun;10(6):821-7. Epub 2013 Feb 13 doi: 10.1016/j.hrthm.2013.02.010. PMID: 23416377
Lead extraction in pediatric and congenital heart disease patients.
Cecchin F, Atallah J, Walsh EP, Triedman JK, Alexander ME, Berul CI
Circ Arrhythm Electrophysiol 2010 Oct;3(5):437-44. Epub 2010 Aug 20 doi: 10.1161/CIRCEP.110.957324. PMID: 20729392
Clinical experience with passive-fixation coradial bipolar endocardial pacing leads. ThinLine Clinical Investigators.
Belott PH, Rizo-Patrón C, Brownstein SL, Antimisiaris M, Tyers GF, Ramos JL
Pacing Clin Electrophysiol 1998 Nov;21(11 Pt 2):2291-9. doi: 10.1111/j.1540-8159.1998.tb01169.x. PMID: 9825335

Clinical prediction guides

Polarity-Dependent, Reduced or No-Output Shocks in Implantable Cardioverter-Defibrillators.
Swerdlow CD, Ringle M
JACC Clin Electrophysiol 2024 Mar;10(3):604-610. Epub 2024 Jan 24 doi: 10.1016/j.jacep.2023.11.023. PMID: 38276928
A Review of the Recent Advances of Cardiac Pacemaker Technology in Handling Complications.
Lowe M, Nguyen L, Patel DJ
J Long Term Eff Med Implants 2023;33(4):21-29. doi: 10.1615/JLongTermEffMedImplants.2022039586. PMID: 37522582
Direct anchoring technique for pacing and defibrillation leads inserted through cephalic vein: insight for a single high-volume center.
Baroni M, Gigli L, Posca F, Carbonaro M, Leidi F, Fortuna M, Ciampi CM, Proietti R
Minerva Cardiol Angiol 2023 Jun;71(3):342-348. Epub 2022 Oct 28 doi: 10.23736/S2724-5683.22.06147-6. PMID: 36305778
Nationwide fluoroscopic screening of recalled Riata defibrillator leads in Denmark.
Larsen JM, Riahi S, Nielsen JC, Videbaek R, Haarbo J, Due KM, Theuns DA, Johansen JB
Heart Rhythm 2013 Jun;10(6):821-7. Epub 2013 Feb 13 doi: 10.1016/j.hrthm.2013.02.010. PMID: 23416377
Lead extraction in pediatric and congenital heart disease patients.
Cecchin F, Atallah J, Walsh EP, Triedman JK, Alexander ME, Berul CI
Circ Arrhythm Electrophysiol 2010 Oct;3(5):437-44. Epub 2010 Aug 20 doi: 10.1161/CIRCEP.110.957324. PMID: 20729392

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