Lead Implant failure and higher voltage?

My dad went through a pacemaker replacement surgery two days ago. He was supposed to get a CRT-D installed but the doctor couldn’t get the 3rd wire anchored. He took two attempts and my dad’s heart rate started to drop. 

So the surgeon decided not to attempt it again and replace the old pacemaker with a lCD. 

Now the doc is saying he’s getting a lead voltage higher than what was set. 3v instead of 1-1.5v. So he wants to do one more test tomorrow and then do a revision surgery right away.

My dad had to fully intubated for his initial surgery and he’s saying he needs to put completely under again but the surgery will take him 40 mins. 

Does it make sense what he’s saying? Is there anyone who’s gone through the same?

FYI my dad is 72, has a complete block, and was diagnosed with CHF earlier this year. I'm really scared of being intubated back to back again 

2 Comments

Hi with a hug

by Lavender - 2024-09-09 22:12:56

It's sad to know you're awaiting more surgery. I am certain they will work out a feasible solution. I have a CRT-P. My implant took twice as long because they had trouble with one lead placement. It's been in over three years and they have had to turn up my voltage to ensure that I get the pacing needed. One day I will need total revisions of my lead and pacemaker. Meanwhile I am going along ok as is. 
 

It is so disappointing when things don't go smoothly the first try. For the majority of people, it's so simple. Some of us, like your dear dad, have to go through a bit more. I am sure you're both worn out. I'm 100% dependent on my pacemaker. I have complete heart block. 
 

May God bring peace and calm. May He inspire the medical team with the best possible plan of care. May your dad heal quickly and live long to enjoy life with such a wonderful caring family. Let us know how things go. 

Intubation

by Julros - 2024-09-10 00:51:41

Intubation allows the medical team to closely monitor and intervene quickly if something should go awry. And he will be completely out and not risk moving at an inoppourtune time. I've been intubated 3 times for cardiac procedures, without issues.

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