title: Externalized Conductor Cables in QuickSite Left Ventricular Pacing Lead and Riata Right Ventricular Lead in a Single Patient: A Common Problem With Silicone Insulation.
abstract: QuickSite (St Jude Medical, Sylmar, CA, USA) is a silicone and polyurethane-insulated coronary sinus pacing lead. Riata lead (St Jude Medical, Sylmar, CA, USA) is a silicone insulated right ventricular shock lead. Recently, insulation breach of silicone based leads raised a huge concern. Fluoroscopic examination of these two leads in the same patient revealed externalization of these two leads. Same mechanism producing insulation breach of Riata lead may be involved in externalization of QuickSite LV lead as distal part of insulation is also made of silicone.
authors.affiliation: Division of Cardiology, Guthrie Clinic, Sayre, PA, USA.
authors.forename: Umashankar
authors.initials: U
authors.lastname: Lakshmanadoss
authors.affiliation: Division of Cardiology, Guthrie Clinic, Sayre, PA, USA.
authors.forename: Vera
authors.initials: V
authors.lastname: Hackett
authors.affiliation: Division of Cardiology, Guthrie Clinic, Sayre, PA, USA.
authors.forename: Pramod
authors.initials: P
authors.lastname: Deshmukh
keywords: Externalized leads; Insulation defect; QuickSite coronary sinus pacing lead; Riata lead