SHODA Morio    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Endowed Professor
Language	Japanese
Title	Lead management for adult congenital heart disease
Conference	The 21st Annual Scientific Meeting of Japanese Society for Adult Congenital Heart Disease
Promoters	Japanese Society for Adult Congenital Heart Disease
Conference Type	Nationwide Conferences
Presentation Type	Speech
Lecture Type	Panelist at Symposium/Workshop (Appointed)
Date	2019/01/12
Society abstract	日本成人先天性心疾患学会雑誌 8(1),88 2019/.1
Summary	Adult patients with congenital heart disease are prone to bradyarrhythmias and life threatening tachyarrhythmias. Therefore, implantable cardiac pacing devices such as pacemaker, implantable cardioverter defibrillator and cardiac resynchronization therapy play an extremely important role. "Lead management" has been recognized as a key issue for better clinical outcomes because trouble-shooting of the implanted leads is much more difficult than that of the implanted device. Lead management should arise not at the timing of lead problems but at the implantation, at the device exchange and at the lead addition. Deep consideration should be paid to decide the pacing leads and the implantation site at the operation. Percutaneous lead extraction is an important option during the device exchange and the lead addition. New concepts of "lead management" will be discussed at this symposium.