Epicardial atrial pacing after the extracardiac Fontan operation: Feasibility of an entirely transvenous approach
| Autor: | Prince J. Kannankeril, Walter J. Hoyt, Kevin M. Shannon, Frank A. Fish, Jeremy P. Moore |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Atrial pacing business.industry Epicardial pacing Fontan physiology medicine.anatomical_structure Left atrial Single ventricle physiology Physiology (medical) Internal medicine cardiovascular system medicine Cardiology Transvenous approach In patient cardiovascular diseases Atrium (heart) Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Electrophysiology. 33:128-133 |
| ISSN: | 1540-8167 1045-3873 |
| DOI: | 10.1111/jce.15285 |
| Popis: | This series describes an innovative technique for pacing in patients with sinus node dysfunction after extracardiac Fontan surgery. This transpulmonary approach to the left atrial epi-myocardium has been successfully applied to three patients at two centers and resulted in excellent acute and midterm pacing characteristics without known complications. The principal advantage of this procedure in comparison to prior iterations is the absence of pacing material within the pulmonary venous atrium, so that future systemic thromboembolism risk is minimized. The transpulmonary approach for permanent atrial pacing offers a novel solution to the unique challenges for patients after extracardiac Fontan operation. |
| Databáze: | OpenAIRE |
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