Lead fixation in dogs achieved with RF energy

Matthew Bonner, Rahul Mehra, Douglas P. Zipes

Research output: Contribution to journalArticle

Abstract

Introduction: The purpose of this study was to test whether radiofrequency (RF) energy could be used to fixate leads to the endocardium. Methods and Results: In six dogs we measured the dislodgment force and pacing threshold before and after RF fixation in the coronary sinus (CS) and right ventricle (RV). RF fixation was achieved with a CardioRhythm Atakr ablation unit. The dislodgment force of CS leads fixed with RF energy was 1.63±0.65 oz, compared with <0.1 oz for similar leads placed in the CS of six separate dogs. In the RV, leads fixed with RF energy had a dislodgment force of 1.29 ±0.27 oz, compared with 0.48±0.28 oz. for urethane (P<0.01) and 1.01±0.21 oz for silicone (P=0.41) tined leads. In the CS, the pacing threshold for RF fixed leads increased significantly from 2.2±1.1 V (0.5 msec) before fixation to 4.2±1.3 V after fixation (P<0.01), while in the RV, the pacing threshold increased from 0.41±0.05 V (0.5 msec) before fixation to a mean of 2.03±0.44 V after fixation (P<0.01). In another group of six dogs studied for 12 weeks, 5 of 6 RF fixed CS leads remained attached, as did 8 of 10 RF fixed RV leads. For the RV leads, the mean pacing threshold was 0.90±0.35 V, compared with 0.53±0.18 V (0.5 msec) for similar tined leads (P=0.02) and 1.2±0.30 V (0.5 msec) for screw leads (P=0.18) in the RV. Conclusion: We conclude that RF energy can be used to attach leads to the RV and CS endocardium. While the RV pacing thresholds increased acutely, the mean chronic thresholds were not significantly different for RF fixed leads and standard tined or screw leads.

Original languageEnglish (US)
Pages (from-to)1285-1290
Number of pages6
JournalJournal of cardiovascular electrophysiology
Volume9
Issue number12
DOIs
StatePublished - Jan 1 1998

Keywords

  • Ablation
  • Screw-in
  • Tines

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology

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