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Pulse generator replacement 

Pulse generator replacement
Chapter:
Pulse generator replacement
Author(s):

Jonathan Timperley

, Paul Leeson

, Andrew RJ Mitchell

, and Timothy Betts

DOI:
10.1093/med/9780198571322.003.0003
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date: 23 October 2019

General principles 76

Patient preparation 76

Pulse generator replacement 78

Downgrading from dual chamber to single chamber 80

Addition of a new lead and generator replacement 80

Pocket revision 80

As with any procedure the indication for a pulse generator replacement should be confirmed prior to starting and the device fully assessed. It is important to assess the leads as the presence of a lead defect may convert a ‘simple box change’ into a revision with an additional lead or consideration of a lead extraction. As well as the lead parameters, before proceeding it is important to confirm the compatibility of lead pins with the new pulse generator, especially with older systems of the pre IS-1 era. Adapters are available for older leads....

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