Defibrillator

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Anonymous

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I sell to neurosurgeons but had a question about your defibrillator. One of my family members had a pace/defibrillator implanted last week. The rep came in the room to talk to him and did a test and noticed that one of the leads came off. He is upset that he may have to be opened up again. How common is it for a lead to come off? (i can't wait to read those responses that says this is a great place for advice). Thanks for the serious responses.
 






Leads fall out of position (dislodge) between 1-5% depending on implanter and lead brand. Usually an experienced dr that is comfortable with the brand he is using will not have more than 1% lead dislodgement. This applies to ra and Rv leads. Lv leads are much more likely to dislodge because they are not actively fixated in position and many times position is compromised for efficacy.
 






Anonymous said:
I sell to neurosurgeons but had a question about your defibrillator. One of my family members had a pace/defibrillator implanted last week. The rep came in the room to talk to him and did a test and noticed that one of the leads came off. He is upset that he may have to be opened up again. How common is it for a lead to come off? (i can't wait to read those responses that says this is a great place for advice). Thanks for the serious responses.
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Brand of lead is not an issue. Most dislodged leads are a direct result of hospital staff and the pt not taking appropriate care during the accute post op phase. The pt should be provided a sling to remind them to limit movement and when they sleep for the first few nights. Hospital staff should not assist the pt by pulling on the pt arm and when they transfer from bed to bed. If the pt is large and not enough slack is left in the lead then gravity may cause the lead to dislodge so there is something to say about implanter error. Most of the time the pt is to blame for not adhereing to instructions or not being educated properly on post op care. The only way to fix it is to do the procedure over.
 






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