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同一患者QuickSite左心室起搏导线和Riata右心室导线中出现的导线外部导体电缆问题：硅胶绝缘的常见问题

Externalized Conductor Cables in QuickSite Left Ventricular Pacing Lead and Riata Right Ventricular Lead in a Single Patient: A Common Problem With Silicone Insulation.

作者信息

Lakshmanadoss Umashankar, Hackett Vera, Deshmukh Pramod

机构信息

Division of Cardiology, Guthrie Clinic, Sayre, PA, USA.

出版信息

Cardiol Res. 2012 Oct;3(5):230-231. doi: 10.4021/cr179w. Epub 2012 Sep 20.

DOI:10.4021/cr179w
PMID:28348692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5358136/
Abstract

QuickSite (St Jude Medical, Sylmar, CA, USA) is a silicone and polyurethane-insulated coronary sinus pacing lead. Riata lead (St Jude Medical, Sylmar, CA, USA) is a silicone insulated right ventricular shock lead. Recently, insulation breach of silicone based leads raised a huge concern. Fluoroscopic examination of these two leads in the same patient revealed externalization of these two leads. Same mechanism producing insulation breach of Riata lead may be involved in externalization of QuickSite LV lead as distal part of insulation is also made of silicone.

摘要

QuickSite（美国加利福尼亚州西尔玛市圣犹达医疗公司）是一种由硅胶和聚氨酯绝缘的冠状静脉窦起搏导线。Riata导线（美国加利福尼亚州西尔玛市圣犹达医疗公司）是一种硅胶绝缘的右心室除颤导线。最近，基于硅胶的导线绝缘破损引发了极大关注。对同一患者的这两种导线进行荧光透视检查发现这两种导线均出现了导线外露情况。由于绝缘的远端部分也是由硅胶制成，导致Riata导线绝缘破损的相同机制可能也与QuickSite左心室导线的外露有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153f/5358136/ef4474eb2c62/cr-03-230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153f/5358136/ef4474eb2c62/cr-03-230-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/153f/5358136/ef4474eb2c62/cr-03-230-g001.jpg

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Externalized Conductor Cables in QuickSite Left Ventricular Pacing Lead and Riata Right Ventricular Lead in a Single Patient: A Common Problem With Silicone Insulation.同一患者QuickSite左心室起搏导线和Riata右心室导线中出现的导线外部导体电缆问题：硅胶绝缘的常见问题
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[Recommendations of the Working Group of Arrhythmias of the German Society of Cardiology on the approach to patients with Riata® and Riata ST® leads (St. Jude Medical). Nucleus of the Working Group of Arrhythmias of the German Society of Cardiology].
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本文引用的文献

1
Deaths caused by the failure of Riata and Riata ST implantable cardioverter-defibrillator leads.由 Riata 和 Riata ST 植入式心律转复除颤器导线故障导致的死亡。
Heart Rhythm. 2012 Aug;9(8):1227-35. doi: 10.1016/j.hrthm.2012.03.048. Epub 2012 Mar 23.