循環器ジャーナル68巻3号

2020年07月発行

特集 不整脈治療の最新デバイステクノロジーとリードマネジメント Ⅳ．リードマネジメント

リードの構造

著者： 中島博¹

所属機関： ¹千葉西総合病院循環器内科

ページ範囲：P.496 - P.506

Point
・ICDリードは非常に複雑な構造をもっている．
・ICDリードの空間構造構成には2つの潮流がある．
・ICDリードはモデルごとに構造が異なる．
・リードの構造は長期成績に影響する．
・リードの構造を知ることは，留置上の注意点を知ることである．

参考文献

1) http://www.medtronic.com/Sprint_Fidelis_leads.pdf

2) St. Jude Medical ICD Lead Design and Long-Term Performance.　https://www.cardiovascular.abbott/content/dam/bss/divisionalsites/cv/pdf/riata/SJM_ICD_Lead_Design_and_Performance-Jan_2014.pdf

3) Hayes D, Freedman R, Curtis AB, et al:Prevalence of externalized conductors in Riata and Riata ST silicone leads:results from the prospective, multicenter Riata Lead Evaluation Study. Heart Rhythm 10:1778-1782, 2013

4) Larsen JM, Nielsen JC, Johansen JB, et al:Prospective nationwide fluoroscopic and electrical longitudinal follow-up of recalled Riata defibrillator leads in Denmark. Heart Rhythm 11:2141-2147, 2014

5) Parkash R, Thibault B, Philippon F, et al:Canadian Registry of Implantable Electronic Device Outcomes:Longer-term follow-up of the Riata lead under advisory. Heart Rhythm 15:524-529, 2018

6) Riata Lead Summit・日本語版．2012　https://www.cardiovascular.abbott/content/dam/bss/divisionalsites/nm/pdfs/int/riata/Riata_Lead_Summit_Carlson_JPN_ver2_FIANL.pdf

7) Hauser RG, Sengupta J, Schloss EJ, et al:Internal insulation breaches in an implantable cardioverter-defibrillator lead with redundant conductors. Heart Rhythm 16:1215-1222, 2019

8) Hauser RG, Abdelhadi R, McGriff D, et al:Deaths caused by the failure of Riata and Riata ST implantable cardioverter-defibrillator leads. Heart Rhythm 9:1227-1235, 2012

9) Tsurugi T, Matsui S, Nakajima H, et al:Various mechanisms and clinical phenotypes in electrical short circuits of high-voltage devices:report of four cases and review of the literature. Europace 17:909-914, 2015

10) https://www.advamed.org/sites/default/files/resource/081709_advamedfinalguidanceforuniformreportingleadsandpgs21may09.pdf

11) Lau EW:Differential lead component pulling as a possible mechanism of inside-out abrasion and conductor cable externalization. Pacing Clin Electrophysiol 36:1072-1089, 2013

12) Shoemaker MB, Rottman JN:Conductor extrusion in a persistent left superior vena cava. Europace 14:307, 2012

13) O'Connor M, Hooks D, Webber M, et al:Long-term single-center comparison of ICD lead survival:Evidence for premature Linox lead failure. J Cardiovasc Electrophysiol. 29:1024-1031, 2018

14) Wilkoff BL, Rickard J, Tkatchouk E, et al:The biostability of cardiac lead insulation materials as assessed from long-term human implants. J Biomed Mater Res B Appl Biomater 104:411-421, 2016

15) http://www.matweb.com/search/DataSheet.aspx?MatGUID=482765fad3b443169ec28fb6f9606660＆ckck=1

16) Issue 81 MDT CRHF PPR 2019 2nd Edition.　http://wwwp.medtronic.com/productperformance/past-reports.html

17) May 2019（9mb）.　https://www.cardiovascular.abbott/us/en/hcp/resources/product/performance-report.html