75
Views
12
CrossRef citations to date
0
Altmetric
Review Article

Bipolar Leads for Use With Permanently Implantable Cardiac Pacing Systems: A Review of Limitations of Traditional and Coaxial Configurations and the Development and Testing of New Conductor, Insulation, and Electrode Designs

, , , , , & show all
Pages 1-15 | Received 30 Sep 1996, Accepted 07 Nov 1996, Published online: 09 Jul 2009

References

  • Haffajee C., Casavant D., De sai P., Moon R., Voukydis P., Pacetti P. Combined third-generation implantable cardioverter defibrillator with permanent unipolar pacemakers. PACE. 1996; 19: 136–142
  • Zeidler D. E. Stress fractures in pacing leads. Medtronic News. 1977; 7: 8–11
  • Mond H. G. Unipolar versus bipolar pacing—poles apart. PACE. 1991; 14: 1411–1424
  • Donachy J. H., Tyers GFO, Hughes H. C., Brownlee R. R., Long life flexible electrode lead 1979; Canadian patent application number 350,490, US patent application numbers 06/032,771 and 06/266,211.
  • Stokes K., Cobian K. Polyetherpolyl rethanes for implantable pacemaker leads. Biomaterials 1982; 3: 225–231
  • Pande G. S. Thermoplastic polyurethanes as insulating materials for long-life cardiac pacing leads. PACE. 1983; 6: 858–867
  • Phillips R., Frey M., Martin R. Long-term performance of polyurethane pacing leads: mechanisms of design-related failures. PACE. 1986; 9: 1166–1172
  • Tyers GFO. FDA recalls: how do pacemaker manufacturers compare?. Ann Thorac Surg. 1989; 48: 390–396
  • Godin J. F., Petitot J. C., Pioger G. STIMAREC report. PACE. 1996; 19: 387–390
  • Moller M., Arnsbo P. Appraisal of pacing lead performance from the Danish pacemaker register. PACE. 1996; 19: 1327–1336
  • Phillips R., Smith M., Thoma R. Bomedical applications of poly-urethanes: implications of failure mechanisms. J Biomater Applic. 1988; 3: 207–227
  • Hayes D., Graham K., Irwin M., et al. A multicenter experience with a bipolar tined polyurethane ventricular lead. PACE. 1992; 15: 1033–1039
  • Cameron J., Mond H., Ciddor G., Harper K., McKie J. Stiffness of the distal tip of bipolar pacing leads. PACE. 1990; 13: 1915–1920
  • Rao G. Does stiffness of leads add to thresholds. PACE. 1995; 18: 1819, (Abst)
  • Glikson M., Von Feldt L. K., Suman V. J., Hayes DL. Clinical surveillance of an active fixation, bipolar, polyurethane insulated pacing lead, part I: the atrial lead. PACE. 1994; 17: 1399–1404
  • Glikson M., Von Feldt L. K., Suman V. J., Hayes DL. Clinical surveillance of an active fixation, bipolar, polyurethane insulated pacing lead, part II: the ventricular lead. PACE. 1994; 17: 1499–1502
  • Mond HG., Hua W., Wang CC. Atrial pacing leads: the clinical contribution of steroid elution. PACE. 1995; 18: 1601–1608
  • Irnich W. Engineering concepts of pacemaker electrodes. Advances in Pacemaker Technology, M. Schaldach, S. Furman. Springer, New York 1975; 241–242
  • Brinker J. A. Endocardial pacing leads: the good, the bad, and the ugly. PACE. 1995; 18: 953–954
  • Lloyd M. A., Hayes D. L., Holmes DR, Jr. Arial “J” pacing lead retention wire fracture: radiographic assessment, incidence of fracture, and clinical management. PACE. 1995; 18: 958–964
  • Ardesia R. J., Saliba B. C., Schoenfeld MI. Evolution of fracture in the atrial “J” lead retention wire. PACE. 1995; 18: 2227–2228
  • Gozzelino G., Aletto C., De marchi PG, et al. Tricuspid regurgitation after pacemaker implantation. Eur J CPE. 1995; 5: 24–30
  • Postaci N., Eksi K., Bayata S., Yesil M. Effect of the number of ventricular leads on right ventricular hemodynemics in patients with permanent pacemaker. Angiology 1995; 46: 421424
  • Fyke F. E. Simultaneous insulation deterioration associated with side-by-side subclavian placement of two polyurethane leads. PACE. 1988; 11: 1571–1574
  • Tamaki W., Costa R., Crevelary E., Filho M. M., Stolf NAG, Jatene AD. Simultaneous silicone insulation ruptures of transvenous leads. PACE. 1995; 18: 1815, (Abst)
  • Jacobs D. M., Fink A. S., Miller R. P., et al. Anatomical and morphological evaluation of pacemaker lead compression. PACE. 1993; 16: 434–444
  • Furman S. Venous cutdown for pacemaker implantation. Ann Thorac Surg. 1986; 41: 438–439
  • Gurzi G., Important recommendations for patient monitoring: Medtronic models 4004/4004M/4082, Ventricular bipolar pacing leads. Medtronic of Canada Ltd., 8 October 1993.
  • Boretos J. The chemistry and biocompatibility of specific polyurethanes for medical use. Biocompatibility of Clinical Implant Materials, DR Williams. CRC Press, Boca Raton, FL 1982; VOL II: 127–144
  • Helguera M. E., Maloney I. D., Pinski S. L., Woscoboinik J. R., Wilkoff B. L., Castle LW. Long-term performance of endocardial pacing leads. PACE. 1994; 17: 56–64
  • Medtronic Inc. Important patient management information. Product Performance Report. Spring 1996; 1–22
  • Wilson S., Important patient management information: Medtronic models 4504/4504M/4582 atrial bipolar pacing leads. Medtronic of Canada Ltd., 4 October 1996.
  • Binner L., Zimmermann F., Nagenrauft S., Kochs M., Hombach V. Unipolar and bipolar impedance measurements to detect insulation failure of bipolar pacing leads. PACE. 1995; 18: 1824, (Abstract & Poster presentation, Xth World Symposium on Cardiac facing, Buenos Aires, Argentina. October 1995).
  • Medical Devices Bureau of the Health Protection Branch. Report of the advisory committee on the risk-based classification system for medical devices. Ottawa, Canada. September 1994; 1–20
  • Johnson W. B., Voegtlin L., Greene C., Bailin S. J., Hoyt R. H., Leiserowitz AS. The 4504/M Passive 80A polyurethane atrial lead—another good lead gone bad?. PACE. 1996; 19: 740, (Abst)
  • Johnson W. B., Greene C., Voegtlin L., et al. Value of unipolarizing safety alert 4004/M80A polyurethane lead… Is it safe?. PACE. 1996; 19: 740, (Abst)
  • Irwin M. E., Carbol B., Gulamhusein S., Senaratne St.M. Clair WR. Follow-up and intra-op experience with converting in-line bipolar leads showing failure—to a unipolar configuration. PACE. 1995; 18: 1788, (Abst)
  • Johnson W. B., Voegtlin L., Greene C., Bailin S. J., Hoyt R. H., Leiserowitz AS. The 4504/M Passive 80A polyurethane atrial lead—another good lead gone bad? Poster presentation. 77th Annual Scientific Sessions NASPE., Seattle, WashingtonUSA 17 May, 1996
  • Gillis A. M., Hillier K., Rothschild J. M., Wyse D. G. Ambulatory ECG monitoring for detection of pacing lead failure. PACE. 1995; 18: 1774, (Abst)
  • Rosenheck S., Bondy C., Weiss A. T., Gotsman M. S. Comparison between patients with and without reliable ventricular escape rhythm in the presence of long standing complete atrioventricular block. PACE. 1993; 16: 272–276
  • Johnson W. B., Greene C., Bailin S. J., Edel T. E., Hoyt R. H., Leiserowitz AS. Implications of safety alert ventricular lead… lead replacement?. PACE. 1995; 18: 1802, (Abst)
  • Pinski S. L., Ching E. A., Sgarbossa E. B., Bash D., Tchou PJ. Pacemaker lead replacement without extraction is not a trivial operation. PACE. 1996; 19: 577, (Abst)
  • Tyers GFO, Brownlee R. R., Hughes HC, Jr, Donachy J. H., Volz C. Development of an optimal rechargeable cardiac pacemaker. J Surg Res. 1976; 20: 405–411
  • Longo E., Catrini V. Experience and implantation techniques with a new single-pass lead VDD pacing system. PACE. 1990; 13: 927–936
  • Lawton J. S., Wood M. A., Gilligan D. M., Stambler B. S., Damiano RJ, Jr, Ellenbogen KA. Implantable transvenous cardioverter defibrillator leads: the dark side. PACE. 1996; 19: 1273–1278
  • Dillon J. G. Electrochemical degradation of Pellethane 2363-80A and 2363-55D. Polymer Degradation and Stability 1992; 37: 183–188
  • Szycher M. Biostability of polyurethane elastomers: a critical review. J Biomater Appl. 1988; 3: 297–401
  • Stokes K., Coury A., Urbanski P. Auto-oxidative degradation of implanted polyether polyurethane devices. J Biomater Appl. 1987; 1: 411–448
  • Schinko H. ETFE-insulated wires. Siemens Rev. 1975; 42: 407–409
  • Adler S. C., Foster A. J., Sanders R. S., Wuu E. Thin bipolar leads: a solution to problems with coaxial bipolar designs. PACE. 1992; 15: 1986–1990
  • Adler S., Spehr P., Allen J., Block W. Chronic animal testing of new cardiac pacing electrodes. PACE. 1990; 13: 1896–1900
  • Ramsey S., Spehr P., McLean A. Mechanisms of threshold reduction by application of polyethylene glycol to the surface of pacemaker lead electrodes. PACE. 1992; 15: 576, (Abst)
  • Silverstein B., Furcinitti P. S., Cameron W. A., Brower J. E., White O., Jr. Biological effects summary report-polyethylene glycol. Brookhaven National Laboratory, United States Department of Energy. January, 1984
  • Brownlee R. R. Toward optimizing the detection of atrial depolarization with floating bipolar electrodes. PACE. 1989; 12: 431–442
  • Hughes HC, Jr, Tyers GFO, Brownlee RR. Inefficiency of bipolar sensing for demand pacing-fact or fiction. ACEMB. 1977; 30: 135, (Abst)
  • Tang C., Yeung-Lai-Wah J. A., Qi A., Mills P., Clark J., Tyers GFO. Initial experience with a new co-radial bipolar pacing lead. PACE. 1997, in press.
  • Tyers GFO, Yeung J., Tang C., et al. Coradial bipolar lead implant and follow-up experience. PACE. 1996; 19: 702, (Abst)
  • Goldman B. S., Nishimura S., Lau C. Survey of cardiac pacing in Canada(1993). Can J Cardiol. 1996; 12: 573–578
  • Bernstein A. D., Goldman B. S., Nishimura S., Parsonnet V. Contrasts in cardiac-pacing practice in the United States and Canada: clinical and non-clinical influences. PACE. 1996; 19: 621, (Abst)
  • Tyers GFO. Current status of sensor-modulated rate-adaptive cardiac pacing. J Am Coll Cardiol. 1990; 15: 412–418
  • Wilson J. H., Siegmund J. B., Johnson R., Lattner S. E., Fahner SP. Pacing system analyzers: different systems-different results. PACE. 1994; 17
  • Irwin M. E., Gulamhusein S. S., Senaratne M. P., St. Clair WR. Outcomes of an ambulatory cardiac pacing program: indications, risks, benefits and outcomes. PACE. 1994; 17: 2027–2031
  • Hayes D. L., VonFeldt L. Clinical surveillance of steroid-eluting passive fixation silicone insulated atrial and ventricular leads. PACE. 1996; 19: 701, (Abst)
  • Tyers GFO, Yeung J., Gulamhusein S., et al. Experience with new parallel wound bipolar pacing leads. PACE. 1995; 18: 1820, (Abst)
  • Payne G. E., Dunham D. G., Rao A. C., Crowther A. P., Joseph S. P., Skehan JD. Clinical experience with a new lead combining active fixation with steroid elution. PACE. 1994; 17: 1665–1671
  • Fogel R., Pirzada F., Casavant D., et al. Initial experience with 1. 5-mm2 high impedance, steroid-eluting pacing electrodes. PACE. 1996; 19: 188
  • Gumbrielle T. P., Bourke J. P., Sinkovic M., Tynan M., Kittpawong P., Gold RG. Long-term thresholds of nonsteroidal permanent pacing leads: a 5-year study. PACE. 1996; 19: 829–835
  • Mond H. G., Stokes K., Helland J., Grigg L., Kertes P., Pate B., Hunt D. The porous titanium steroid eluting electrode: a double blind study assessing the stimulation threshold effects of steroid. PACE. 1988; 11: 214–219
  • Irnich W. Considerations in electrode design for permanent pacing. Cardiac Pacing: Proceedings of the IVth lnternational Symposium on Cardiac Pacing, HJ Thalen, 1973; 268–274
  • Tyers GFO, Brownlee R. R., Hughes HC, Jr, Shaffer C. W., Williams E. H., Kao RL. Myocardial stimulation impedance: the effects of electrode, physiological and stimulus variables. Ann Thorac Surg. 1979; 27: 63–69
  • Stokes K. B., Bird T., Gunderson B. The mythology of threshold variations as a function of electrode surface area. PACE. 1991; 14: 1748–1751
  • Cheesman M., Tyers GFO, Clark J., Mills P. Effect of polarity and voltage regulation on power consumption in cardiac pacemakers. PACE. 1996; 19: 719, (Abst)
  • Hartley J. W. Programming the pacing voltage: minimizing the energy and maximizing the longevity. CPI Pacing Dynamics 1996; 14–16, Second Quarter
  • Anonymous., Vigor D. R. CPI Physicians Manual. Cardiac Pacemakers 1994
  • Toivonen L., Heikkola E. Comparison of pacing threshold development in membrane coated and steroid eluting electrodes. PACE. 1996; 19: 610, (Abst)
  • Weigand UKH, Potratz J., Luninghake F., Taubert G., Brandes A., Diederich K-W. Electrophysiological characteristics of bipolar membrane carbon leads with and without steroid elution compared with a conventional carbon and a steroid-eluting platinum lead. PACE. 1996; 19: 1155–1161
  • De Bufallo A. GA, Schlaepfer J., Fromer M., Kappenberger L. Acute and long-term ventricular stimulation thresholds with a new, iridium oxide-coated electrode. PACE. 1993; 16: 1240–1244
  • Parsonnet V., Bernstein A. D., Neglia D. Nonthroacotomy ICD implantation: lessons to be learned from permanent pacemaker implantation. PACE. 1995; 18: 1597–1600
  • Parsonnet V. letter to the editor. PACE. 1996; 19: 1401
  • Tyers GFO, Yeung J., Tang C., et al. Coradial bipolar lead implant and follow-up experience. Poster presentation. 17th Annual Scientific Sessions NASPE. Seattle, WashingtonUSA 17 May, 1996

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.