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Intermediate Technical IVT

steroid-eluting lead

A pacing lead that releases anti-inflammatory medication at the electrode-tissue interface to minimize fibrosis and maintain stable electrical parameters.

Full Definition

A steroid-eluting lead incorporates a small amount of corticosteroid medication (typically dexamethasone sodium phosphate) in a silicone plug or matrix near the electrode tip. The steroid is slowly released over weeks to months following implantation, reducing the inflammatory response and fibrotic tissue formation that naturally occurs at the electrode-myocardium interface. This technology helps maintain lower, more stable capture thresholds and better sensing over time compared to non-steroid leads. Steroid-eluting leads have become the standard of care for most pacing applications.

Usage

Usage note: Hyphenate when used as a compound modifier.

In Context

  • "The steroid-eluting lead demonstrated stable capture thresholds throughout the 12-month follow-up period." — Clinical outcomes study
  • "Steroid-eluting leads significantly reduce chronic capture thresholds compared to non-steroid designs." — Product comparison study

Also known as

steroid lead drug-eluting lead

Contrasted with

passive-fixation lead

Don't confuse with

active-fixation lead bipolar lead

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