Epicardial pacing
| Autor: | Przemysław Mitkowski, Jarosław Hiczkiewicz, Joanna Mitkowska |
|---|---|
| Rok vydání: | 2017 |
| Zdroj: | In a good rythm. 3:15-18 |
| ISSN: | 2300-7389 1896-7892 |
| DOI: | 10.5604/01.3001.0010.4658 |
| Popis: | The first implanted pacing systems were epicardial. Only in 1962 first endocardial pacing was delivered. Although number of epicardial pacing systems is low, in selected cases this mode is the only therapeutic option. Epicardial systems should be considered in individuals who need permanent pacing and who are neonates or infant; in patients with congenital heart defects and right-to-left shunt; in case of inability to obtain vein access to target heart chamber; in patients with resynchronization system in whom hemodynamically effective pacing through epicardial veins is impossible; in those who are pacemaker dependant and require reimplantation of the system after extraction due to infective complications. In some, above mentioned cases, leadless pacing or totally subcutaneous cardioverter-defibrillator (S-ICD) could be an alternative. Both uni- and bipolar, steroid eluting leads are available. It seems that bipolar leads are less prone to malfunction, which is observed in 1 and 6% atrial; 4 and 15% ventricular leads after 2 and 5 years follow-up. |
| Databáze: | OpenAIRE |
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