Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1987-7-30
pubmed:abstractText
We studied the incidence of lead fractures in 2,226 patients with a total follow-up period of 8,558 patient years. Lead fractures occurred in 100 out of 2,563 implanted leads (3.9%). This corresponds to an average rate of 1.2% per patient year. We found 62 out of 881 singlefilar coil leads fractured (7.0%), 20 out of 809 Siemens Elema 588 leads (2.5%) and only 6 out of 630 multifilar soil leads (1.0%). Lead fractures occurred at a significantly (p less than 0.05) higher rate in singlefilar coil leads than in Simens Elema 588 leads or in multifilar coil leads. Independent of the type of lead, a significantly (p less than 0.05) higher fracture rate was found with leads implanted through the internal jugular vein. Most fractures occurred either inside the pacemaker pocket or on the way from the connector to the venous entry. Only 7% of all fractures occurred within the vascular system. Patients with a second or third degree AV-block and a multifilar coil lead implanted showed a significantly (p less than 0.05) better survival rate compared to those with a singlefilar coil or a Siemens Elema 588 lead. In pacemaker-dependent patients a replacement of singlefilar coil leads might be considered.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0171-6425
pubmed:author
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
101-4
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
Lead fracture in pacemaker patients.
pubmed:publicationType
Journal Article