Rationale for and use of the lumenless 3830 pacing lead

Most currently available pacing and defibrillation leads utilize a stylet‐based design that facilitates implantation. This has advantages, but also increases the lead diameter and adds the potential for metal fatigued‐based conductor failure. A systematic literature search was conducted, and the aut...

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Bibliographic Details
Published in:Journal of cardiovascular electrophysiology 2023-03, Vol.34 (3), p.769-774
Main Authors: Richardson, Travis D., Himes, Adam, Marshall, Mark, Crossley, George H.
Format: Article
Language:English
Subjects:
Cardiac Conduction System Disease
Cardiac Pacing, Artificial - methods
catheters
Conduction
Equipment Design
Humans
lead failure
pacemaker leads
Pacemaker, Artificial
Prosthesis Implantation - methods
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Summary:Most currently available pacing and defibrillation leads utilize a stylet‐based design that facilitates implantation. This has advantages, but also increases the lead diameter and adds the potential for metal fatigued‐based conductor failure. A systematic literature search was conducted, and the authors add their twenty‐year experience with this lead design. The global experience with lumenless leads was reviewed both for “standard” positioning and with conduction system pacing. Methods for both placement and system modification are reviewed. Lumenless leads have the potential to improve the durability of endocardial pacing and facilitate conduction system pacing.
ISSN:1045-3873
1540-8167
DOI:10.1111/jce.15828