What is a dual lead ICD?

What is a dual lead ICD?

Dual-chamber ICDs are indicated for patients who require an ICD in addition to cardiac pacing for sinus node and/or AV node conduction disease, either due to an intrinsic etiology or antiarrhythmic therapy.

Is AICD and ICD the same?

An implantable cardioverter defibrillator (ICD or AICD) is a permanent device in which a lead (wire) inserts into the right ventricle and monitors the heart rhythm. It is implanted similar to a single chamber pacemaker and the generator lays in the upper chest area and venous access is through the subclavian vein.

What is a dual chamber ICD implant?

Dual chamber Implantable Cardioverter-Defibrillator (ICD): Atrial therapies and minimized ventricular pacing will be programmed on along with Ventricular Tachycardia/Ventricular Fibrillation (VT/VF) detection and therapies with detection enhancements; remote monitoring set to alert for sustained atrial fibrillation.

Is AICD same as pacemaker?

The AICD implant is similar to a pacemaker, but there are some key differences. The most important difference is that AICD is used for patients are used for patients with a high risk for sudden cardiac arrest.

Can you live 20 years with ICD?

Living with a Pacemaker or Implantable Cardioverter Defibrillator ICD. Pacemakers and ICDs generally last 5 to 7 years or longer, depending on usage and the type of device. In most cases, you can lead a normal life with an ICD.

Can you live 20 years with a defibrillator?

Results: Over 20 years, ICD pulse generator replacements were performed in 238 patients (209 men; age 63.7 ± 13.9 years; ejection fraction, 37.7% ± 14.0%) who had an ICD for secondary (n = 210) or primary (n = 28) prevention. The mean ICD longevity was 58.3 ± 18.7 months.

What kind of shock coil does an ICD lead have?

ICD leads differ in number of shock coils, number of sensing electrodes, and type of connector terminals. All transvenous leads have a distal shock coil in the RV. Dual-coil leads have an additional proximal shock coil, which usually lies in the superior vena cava ( Figure 1A ).

What are the different types of ICD leads?

ETFE indicates ethylene-tetrafluoroethylene; PTFE, polytetrafluoroethylene; RV, right ventricular; and SVC, superior vena cava. ICD leads differ in number of shock coils, number of sensing electrodes, and type of connector terminals. All transvenous leads have a distal shock coil in the RV.

Who is eligible for a dual chamber ICD?

LMNA mutation carriers with or without atrioventricular conduction abnormalities benefit from a dual-chamber ICD because of the need for (future) pacing (see Table 21-1 ).

Which is the best ICD lead for atrial diagnostics?

One appealing ICD lead choice for atrial diagnostics in a single-chamber MRI conditional device is using a DX lead (Biotronik, Germany) which provides a large bipolar sensing ring in place of an SVC coil, however this does not provide atrial or AV synchronous pacing. Charles D. Swerdlow,