Boston Scientific EASYTRAK 2 IS-1, Руководство врача-руководителя

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EVALUATING LEAD PERFORMANCE—EASYTRAK 2 IS-1 LEAD
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2. Using the proximal pre-formed groove, secure the sleeve to the lead.
Using the same groove, secure the sleeve and lead to the adjacent
fascia.
3. Check the suture sleeve after tie-down to demonstrate stability and lack
of slippage by grasping the suture sleeve with fingers and trying to
move the lead in either direction.
Note: If venous entry is made using a Boston Scientific lead introducer,
ligate the lead to the adjacent fascia using the suture sleeve to prevent lead
movement.
CAUTION: When ligating the vein, avoid too tight a ligature. A tight ligature
might damage the silicone rubber insulation or sever the vein. Avoid
dislodging the lead tip during the stabilizing procedure.
Connection to a Pulse Generator
Remove the finishing wire from the lead before connecting the lead to the
pulse generator. A finishing wire left in the lead could cause (1) lead
perforation or (2) myocardial or coronary venous perforation.
When the lead is secured at the venous entry site, reverify position and
threshold measurements and then connect the lead to the pulse generator
using the procedure described in the applicable pulse generator physician’s
manual.
Figure 8. Using the sleeve with the venous cutdown technique.
Distal Groove:
First pass: secure vein to lead.
Second pass: secure vein and lead to fascia.
Proximal Groove:
First pass: secure sleeve to lead.
Second pass: secure sleeve and lead to fascia.
356995-051 EN Europe.book Page 19 Monday, August 8, 2011 3:43 PM