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.