Why Is It So Hard to Downgrade From ICD to Pacemaker ... | 合法醫療器材資訊網

2019年4月17日—Onegrouphasasolution....It'stimetochangethat,onegroupargued....Theirfix​:AnadaptortomakeDF4ICDleadscompatiblewith ...

For all the technological advances in implantable cardioverter-defibrillator (ICD) technology, patients have lost out in their ability to convert the device to pacing only. Its time to change that, one group argued.

"In the past, ICD systems could be downgraded to only provide pacing by replacing the ICD generator with a pacemaker generator attached to the existing leads. Unfortunately, changes in ICD lead technology have made this impossible, specifically because there is no adaptor available to facilitate this simple, cost-effective, and patient-centered procedure," wrote Daniel Kramer, MD, MPH, and colleagues at Beth Israel Deaconess Medical Center in Boston.

Millions of people currently live with the devices that use DF4 ICD leads, a design approved by the FDA in 2009 because it allowed for smaller ICD generators and made operator connection errors less likely.

"However...