RA and RV Lead Info Flashcards

1
Q

What are the 2 main insulation materials in leads?

A

silicone and polyurethane

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2
Q

What are the 4 techniques for obtaining access?

A
  • needle stick or puncture
  • cephalic cut down and puncture
  • thoracoscopy
  • thoracotomy
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3
Q

What are the common veins for obtaining access?

A
  • subclavian vein

- axillary vein

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4
Q

What are the disadvantages of the needle stick method of obtaining access?

A
  • pneumothorax
  • hemothorax
  • SVC perforation
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5
Q

Which insulation material is fragile, requiring multiple layers?

A

silicone

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6
Q

Which insulation material has a higher coefficient of friction, meaning less slippery than the other?

A

silicone

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7
Q

Which insulation material is sturdy and requires less layers/thinner application? (is thinner than the other)

A

polyurethane

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8
Q

Which insulation material has a lower coefficient of friction, meaning more slippery than the other?

A

polyurethane

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9
Q

What does ESC and MIO stand for in relation to lead insulation?

A
  • Environmental Stress Cracking: usually affects outer, not inner conductor, no issues
  • Metal Ion Oxidation: macrophage cells produce peroxide molecules that degrade the polyurethane insulation
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10
Q

Which lead insulation type is more likely to produce an immune response?

A

polyurethane

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11
Q

Is the 4076 lead considered a hybrid lead and what does that mean?

A

yes, contains inner silicone and outer polyurethane insulation

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12
Q

What do the individual numbers in the low-power lead model number represent (ex: 4076, 5076)?

A
  • 1st number = insulation material
  • 2nd number = shape
  • 3rd number = Medtronic brand for the lead
  • 4th number = polarity
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13
Q

For low-power leads: What does the number 4 in the 1st position in the lead model number represent (ex: 4076)?

A
  • the 1st number indicates the type of insulation

- the number 4 = polyurethane

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14
Q

For low-power leads: What does the number 0 in the 2nd position in the lead model number represent (ex: 4076)?

A
  • the 2nd number indicates the lead shape

- the number 0 = lead is straight in shape

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15
Q

For low-power leads: What does an even number in the 4th position of the lead model number represent?

A

the 4th number indicates the type of polarity

- an even number = bipolar

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16
Q

For low-power leads: What does an odd number in the 4th position of the lead model number represent?

A
  • the 4th number indicates the type of polarity

- an odd number = unipolar

17
Q

For low-power leads: What does the number 5 in the 1st position in the lead model number represent (ex: 5076)?

A
  • the 1st number indicates the type of insulation

- the number 5 = silicone

18
Q

For low-power leads: What does the number 1 in the 2nd position in the lead model number represent (ex: 4176)?

A
  • the 2nd number indicates the lead shape

- the number 1 = lead is canted/curved in shape

19
Q

For low-power leads: What does the number 5 in the 2nd position in the lead model number represent (ex: 4576)?

A
  • the 2nd number indicates the lead shape

- the number 5 = lead is J-shaped

20
Q

For low-power leads: What does the number 9 in the 2nd position in the lead model number represent (ex: 4976)?

A
  • the 2nd number indicates the lead shape

- the number 9 = lead is an epicardial lead

21
Q

For high-power leads: What do the numbers 69 in the 1st and 2nd position in the lead model number represent (ex: 6947)?

A

the number 69 labels the lead as a high power lead

22
Q

For high-power leads: What does the number 4 in the 3rd position in the lead model number represent (ex: 6947)?

A
  • the 3rd number identifies the number of electrodes on the lead
  • the number 4 = tip, ring, RVcoil and SVC coil
23
Q

For high-power leads: What does the number 3 in the 3rd position in the lead model number represent (ex: 6937)?

A
  • the 3rd number identifies the number of electrodes on the lead
  • the number 3 = tip, ring, and RVcoil
24
Q

What do the individual numbers in the high-power lead model number represent (ex: 6947)?

A
  • 1st and 2nd number = identifies lead as high-power
  • 3rd number = number of electrodes (3 or 4)
  • 4th number = type of fixation (active/passive)
25
For high-power leads: What does an odd number in the 4th position of the lead model number represent?
- the 4th number indicates the type of fixation | - an odd number = active
26
For high-power leads: What does an even number in the 4th position of the lead model number represent?
- the 4th number indicates the type of fixation | - an even number = passive
27
Which CS lead would you recommend for medium sized vessels with moderate vessel curvature?
4298 ATTAIN PERFORMA-CANTED
28
Which CS lead would you recommend that suitable for small sized vessels and smaller lesser vessel curvature?
4398 ATTAIN PERFORMA STRAIGHT
29
How many vector choices are available with a quadripolar lead?
16 vectors
30
When applying the pacing gator clips at implant which color is the cathode and which is the anode?
- black = cathode | - red = anode
31
What type of lead is a 6947M?
69 - High voltage 4 - dual coil (4 electrodes, tip, ring, RVcoil, SVCcoil) 7 - active fix M - Multipolar DF4
32
What type of lead is a 4196?
``` LV lead 4 - polyurethane 1 - canted “skinny” 9 - attain brand 6 - bipolar dual cathode ```
33
What does a 3 or 5 in the 4th place of an LV lead nominclature?
Unipolar
34
What is a 4 in the 4th place of an LV lead nominclature?
True bipolar
35
What is a 6 in the 4th place of an LV lead nominclature?
Bipolar (dual cathode)
36
What is a 4798 lead?
Quadripolar Active fixation LV lead
37
What is a 4398 lead?
Straight quadripolar passive LV lead
38
What is a 4298 lead?
Hockey stick shaped quadripolar LV lead