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Biomedical subjects

B Lazarus

Publications and source records attributed to B Lazarus.

6 recordsLinked to original sources

Is polyurethane lead insulation still controversial?

A controversy arose some 10 years ago over the reliability of polyurethane lead insulation. On the basis of one of the longest standing and largest databanks worldwide, the authors compare the cumulative survival of several thousand polyurethane, standard silastic, and high-performance silastic electrodes as it pertains to the failure criterion described as insulation degradation. With the possible exception of the Medtronic 6972 (Medtronic, Inc.) electrode, polyurethane electrodes have a 100% reliability at 84 months, which is similar to silastic electrodes.

Databases, Factual

Clinical experience with new leads.

Recent developments in cardiac pacemaker electrodes have resulted in significant benefits to the group of pacemaker patients as a whole. The results of analysis of 2,818 chronic pacemaker electrodes are presented. These electrodes are divided into major categories according to their particularities: platinum iridium, elgiloy, carbon-tip, anodized platinum and granulated iridium-platinum. All leads were in the ventricular position. The results of acute and chronic threshold measurements reveal that carbon-tipped electrodes appear to have the most favorable overall characteristics. This will have a major influence on long-term pacing practices.

Carbon

Clinical experience with 910 carbon tip leads: comparison with polished platinum leads.

Since 1980, we have implanted 910 carbon tip leads from three different manufacturers. The pacing thresholds from these leads were compared to those of standard polished platinum electrode configurations. Our major findings are that while acute voltage thresholds are not significantly different, two of the three carbon tip leads that we used in the study have statistically lower chronic thresholds then polished platinum leads (p less than or equal to 0.01).

Carbon

Methods for recording intermittent contact signals in demand pacemaker arrhythmias (11 cases).

This report describes some of the various techniques which may be used to demonstrate intermittent and/or incomplete fracture of a pacing lead. Eleven patients treated with an R-wave-inhibited demand pacer showed signs of paroxysmal arrhythmias. Intraoperative recordings of the ventricular electrogram showed the presence of spurious signals mimicking an R-wave. These signals varied from patient to patient but remained morphologically constant when a given technique was used in a given case. The most significant signals were picked up when pacing and recording on the same lead.

Arrhythmias, Cardiac