title: "Add-on pacing lead": an effective and safe alternative to lead replacement in ICD pacing failure.
abstract: Despite recent advances in implantable cardioverter defibrillator (ICD) technology, the long-term reliability of ICD leads remains a significant problem. Lead failures constitute a major risk for patients with an implantable cardioverter defibrillator. There is no clear consensus on treatment strategy of ICD lead failure and decision should be individualized. We report a pacing-dependent elderly male with ICD lead pacing failure secondary to insulation break resulting in recurrent syncope. We emphasize the technique of "Add-on pacing lead implantation" could be an effective and alternative to ICD lead replacement.
authors.affiliation: Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. sudeep@sgpgi.ac.in
authors.forename: Sudeep
authors.initials: S
authors.lastname: Kumar
authors.forename: Nagaraja
authors.initials: N
authors.lastname: Moorthy
authors.forename: Aditya
authors.initials: A
authors.lastname: Kapoor
mesh_terms: D000369:Aged, 80 and over; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D017147:Defibrillators, Implantable; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D017211:Treatment Failure