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Fully Integrated CRT Implant System

Attain Left-Heart Leads

Medtronic offers a broad choice of leads to navigate diverse anatomies to enhance the chance of success during the implant procedure. Designs are available for stability in different vein sizes and programming options to avoid phrenic nerve stimulation.

Attain Portfolio

Vein Diameter Continuum

Detail – Attain Lead Family Vein Diameter Continuum

 

Attain® Family of LV Leads – Table 1 of 2
  4298 4398 4598
Compatibility IS-4 IS-4 IS-4
OTW Delivery Yes Yes Yes
Stylet Delivery Yes Yes Yes
Distal Lead Diameter 3.9 Fr 3.9 Fr 3.9 Fr
Proximal Lead Diameter 5.3 Fr 5.3 Fr 5.3 Fr
Tip Seal Yes Yes Yes
Distal Shape Dual cant Straight Offset S curve
Fixation Passive Tines Passive
Polarity Quadripolar Quadripolar Quadripolar
Distal ESA 5.8 mm2 5.8 mm2 5.8 mm2
Proximal ESA 5.8 mm2 5.8 mm2 5.8 mm2
Electrode Separation 21.0 mm LV1-LV2, 1.3 mm LV2-LV3, 21 mm LV3-LV4 21.0 mm LV1-LV2, 1.3 mm LV2-LV3, 21 mm LV3-LV4 21.0 mm LV1-LV2, 1.3 mm LV2-LV3, 21 mm LV3-LV4
Lead Lengths 78, 88 cm 78, 88 cm 78, 88 cm
Compatible with Select II + SureValve Sub-Selection Catheter Yes Yes Yes

 

Attain® Family of LV Leads – Table 2 of 2
  4194 4195 4196 4296 4396
Compatibility IS-1 IS-1 IS-1 IS-1 IS-1
OTW Delivery Yes Yes Yes Yes Yes
Stylet Delivery Yes Yes Yes Yes Yes
Distal Lead Diameter 5.4 Fr 5.3 Fr 4.6 Fr 4.6 Fr 4.6 Fr
Proximal Lead Diameter 6.0 Fr 5.0 Fr 4.0 Fr 5.3 Fr 4.0 Fr
Tip Seal Yes Yes Yes Yes Yes
Distal Shape Angled Canted Angled Angled Straight
Fixation Angled Body Deployable Lobes Dual Canted Dual Canted Tined Fixation
Polarity Bipolar Unipolar Bipolar Bipolar Bipolar
Distal ESA 5.8 mm2 5.8 mm2 5.8 mm2 5.8 mm2 5.8 mm2
Proximal ESA 38.0 mm2 NA 5.8 mm2 5.8 mm2 5.8 mm2
Electrode Separation 11.0 mm NA 21.0 mm 21.0 mm 21.0 mm
Lead Lengths 78, 88 cm 78, 88, 103 cm 78, 88 cm 78, 88 cm 78, 88 cm
Compatible with Select II + SureValve Sub-Selection Catheter No No Yes Yes Yes

 

Expand All

performa quad 4298/4398/4598

Attain® Performa™ Left-Heart Leads
Model 4298/4398/4598
5.3 Fr, Quadripolar

TESTED AND DEMONSTRATED SAFE IN THE MRI
AS PART OF A SURESCAN CRT-D SYSTEM

 

Advanced Quadripolar Leads with More Shape Options –  designed to address common clinical challenges

 

Short Bipolar Spacing – Reduce phrenic nerve stimulation occurrence1-3
Steroid on All Electrodes – Improve thresholds and longevity4
Compatible with all Attain® Delivery Systems – Use preferred delivery tools including sub-selection catheters

 

Attain Performa Quad Lead Portfolio

Detail – Attain Performa Quad Lead Portfolio

Attain Performa with Short Bipolar Spacing vs Other Quadripolar LV Lead with Wide Electrode Spacing

 

 


Important Safety Information

Surgical complications, such as cardiac perforation, may occur and care must be taken when placing and positioning a cardiac lead.


Specifications:


References

1

Biffi M, et al. Utilizing Short Spacing between Quadripolar LV lead Electrodes to Avoid PNS. Cardiostim 2014, Poster presentation, Session 56P.

2

Biffi M, Foerster L, Eastman W, et al. Effect of bipolar electrode spacing on phrenic nerve stimulation and left ventricular pacing thresholds: an acute canine study. Circ Arrhythm Electrophysiol. August 1, 2012;5(4):815-820.

3

Biffi M, Zanon F, Bertaglia E, et al. Short-spaced dipole for managing phrenic nerve stimulation in patients with CRT: the “phrenic nerve mapping and stimulation EP” catheter study. Heart Rhythm. January 2013;10(1):39-45.

4

Lunati MG, Gasparini M, Landolina M, et al. Long-Term Effect of Steroid Elution on the Electrical Performance of Coronary Sinus Leads for Cardiac Resynchronization Therapy. Presented at HRS 2012 (AB10-05).

ability 4196

ability 4296

ability 4396

starfix 4195


Reference

1

Medtronic is the only medical device company to offer an active fixation LV lead and hybrid guide wire. Sources consulted: January 2011: www.bostonscientific.com; www.sjm.com; www.biotronik.com; www.sorin-crm.com.