P wave synchronous pacing using anchored atrial electrode implanted without thoracotomy

Porstmann, W; Witte, J.; Dressler, L; Schaldach, M.; Vogel, Ilse; Warnke, H

doi:10.1016/0002-9149(72)90128-2

Cited by 21 publications

(4 citation statements)

References 9 publications

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“…Studies on long‐term temporary atrial pacing are scarce. Initial series reported limited success with a relatively high dislocation rate and high threshold values 10–13 . Some investigators have suggested specific lead designs to obtain a stable and reliable atrial position.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of a New Active‐Fixation Lead in Transvenous Temporary Pacing from the Femoral Approach

Cock

Campen

Visser

2003

Pacing Clinical Electrophis

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Temporary transvenous pacing is associated with a high incidence of complications with a substantial dislocation rate reported to occur in more than one-third of patients. This article describes a novel 3.5 Fr temporary pacing lead using active fixation in a consecutive series of 42 patients with prolonged (> or = 48 hours) temporary pacing. The dislocation rate was 4.8%, while in 7.1% of patients inappropriate pacing (more than a twofold increase of initial pacing threshold) was observed. The total procedural related complication rate (dislocation, inappropriate pacing, local infection, and/or thrombosis) was 31% during a mean duration of pacing of 5.96 +/- 2.6 days. Ambulatory pacing was performed in the vast majority (74%) of patients. Temporary transvenous pacing using an active-fixation lead is safe and permits long-term ambulatory pacing with a low dislocation rate.

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Section: Discussionmentioning

confidence: 99%

Usefulness of a New Active‐Fixation Lead in Transvenous Temporary Pacing from the Femoral Approach

Cock

Campen

Visser

2003

Pacing Clinical Electrophis

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“…Electrode dislodgement has been a troublesome problem, but ongoing modification of the electrode configuration and further clinical experience have substantiated the potential usefulness of these right atrial approaches.12 14 Other pervenous methods using atrioventricular electrodes", and electrodes with barbs and hooks for atrial fixation have had only limited trials. 16 Eleven malpacing events were observed in the 50 reported patients during 1531 atrial pacing months for an average event rate of 0.72% per paced month. In the seven patients with either electrode dislodgement out of the coronary vein or the development of a high threshold, the initial atrial pacing threshold averaged 4.4 ± 2.8 ma, a value almost twice that of our entire series.…”

Section: Discussionmentioning

confidence: 99%

Atrial pacing from the coronary vein. Ten-year experience in 50 patients with implanted pervenous pacemakers.

Moss¹,

Rivers²

1978

Circulation

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During the past ten years, pervenous atrial pacemakers have been implanted in 50 patients (mean age 68 years, 60% males) using an electrode positioned in the coronary vein. The indications for atrial pacing were symptomatic sinus bradycardia (72%), atrial brady-tachy syndrome (20%), and recurrent tachyarrhythmias (8%). Atrial pacemakers have been implanted for a total of 1531 pacing months, average 31 months per patient, median 26 months and range 3-97 months. Effective atrial pacing has been achieved with Medtronic model 5818 and 6904 electrodes. Unipolar or bipolar atrial pacing has been equally effective, and commercially available Medtronic 5950, Cordis 162 and CPI 602 pulse generators have been utilized without difficulty. A total of 11 electrode related malpacing events occurred in the ten-year period with a malpacing event rate of 10% in the first pacing month, 1.1% per paced month during the next six months, and 0.25% per paced month thereafter. Life table analysis reveals that effective atrial pacing was achieved in 76% of the patients during a follow-up of more than five years. This experience substantiates the long-term safety and effectiveness of atrial pacing from the coronary vein using standard pacemaker electrodes and generators.

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“…Apart from the mediastinal atrial electrode (Carlens et al, 1965;Lagergren et al, 1966a, b;Larsson et al, 1969;Larsson, 1970;Kleinert and Nahrstedt, 1974) there are two main approaches for introducing the electrode: implantation via thoracotomy Nathan et al, 1964;Center and Nathan, 1966;Silverman et al, 1968;Nusbaum and Levit, 1970;Cleveland et al, 1972;Mills and Ochsner, 1973;Perryman and Sealy, 1973) and transvenous techniques (Rodewald et al, 1964; Detector electrode for atrial triggered cardiac pacing Hunt and Sloman, 1968;Kastor et al, 1969;Moss et al, 1969;Kramer and Moss, 1970a, b;Kitamura et al, 1971;Vogel et al, 1971;Rosenkranz and Schaldach, 1971;Bleifeld et al, 1971;Smyth et al, 1971a, b;Porstmann et al, 1972;Zucker et al, 1973;Cappelen and Hall, 1974;Moss et al, 1974;Obel and Scott Millar, 1975;Rubenfire, 1975). Reviews of different methods have been given by Dodinot et al (1969), Sowton (1969), Benchimol and Goldstein (1969), Nathan et al (1971), DeSanctis (1971, and Furman (1973).…”

Section: Discussionmentioning

confidence: 99%

Detector electrode introduced by mediastinoscopy for atrial triggered cardiac pacing. A follow-up of electrode function in 82 patients.

Carlene¹,

Ericsson²,

Levander‐Lindgren³

et al. 1977

Heart

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An atrial detector electrode was introduced by mediastinoscopy in 82 patients requiring permanent cardiac pacing. There were no complications. An adequate P wave was recorded in 80 patients. During the following week, the P wave became ineffective in 5 patients; angina occurred in 2 and atrial arrhythmias in 2. Atrially triggered ventricular pacing established in 73 patients and was followed in 71 patients for a period of 1 to 113 months. In 17 cases, it had to be terminated because of an ineffective or unstable P wave,in 6 cases because of atrial arrhythmias, and in 4 cases because of advanced age and recurrent infections. The method is technically simple and place little stress on the patient.

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P wave synchronous pacing using anchored atrial electrode implanted without thoracotomy

Cited by 21 publications

References 9 publications

Usefulness of a New Active‐Fixation Lead in Transvenous Temporary Pacing from the Femoral Approach

Usefulness of a New Active‐Fixation Lead in Transvenous Temporary Pacing from the Femoral Approach

Atrial pacing from the coronary vein. Ten-year experience in 50 patients with implanted pervenous pacemakers.

Detector electrode introduced by mediastinoscopy for atrial triggered cardiac pacing. A follow-up of electrode function in 82 patients.

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