ICD to pacemaker change -- leads??

[Gracie2311]

Hello -- I have a two-lead ICD for HCM and then had a septal myectomy. The surgery decreased my risk, but also left me with complete heart block.So, when the ICD wears out, I'll switch to a pacemaker in the generator changeout.

My question: can I keep my leads stay intact, with the high-voltage lead in my right ventricle simply being used as a second pacemaker lead?  Obviously I'm hoping I won't need a new lead, & am trying to avoid an added lead in the vein or (ouch) extracting & replacing the RV lead.

I've looked & looked and read about generator changes, but can't find this, and I'm not scheduled to see an EP for a looong time.

THANKS

[Midijane]

Hello Gracie,
Im not sure to answer your question directly, but I did think of a possible resource for you. If you know what kind of ICD you have, could you get in touch with a company representative to ask the question of device compatibilty?  I have known reps who are great in getting back to people with questions and you are afterall a client they represent.

Let me know if you are able find anything out, Ill be curious.

Best wishes.

[Gracie2311]

Thanks! It helps to know!

[ireneo]

I imagine each case is different but my Dad went from ICD to pacemaker with no problem. They used the same leads but the placement may have been different than yours. I hope your switch goes as easily as his did.