Implantation of a Permanent Tined Endocardial Electrode into Right Atrium during Open-heart Surgery: Report of 3 Cases

Autor: Koji Tsutsumi, MD, Tatsuru Niibori, MD, Keiichiro Katsumoto, MD
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Zdroj: Journal of Arrhythmia, Vol 21, Iss 4, Pp 475-479 (2005)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/S1880-4276(05)80008-0
Popis: Given concerns regarding electrode fixation and risk of dislodgement, transvenous implantation of a tined endocardial electrode into the right atrium is considered difficult in patients who require permanent atrial pacing following cardiac surgery. Implantation of a tined endocardial electrode into the right atrium was performed intraoperatively for 3 patients who required implantation of a permanent atrial electrode during the cardiac operation. This technique yielded excellent results during the mean follow-up period of 65 months, with low stimulation thresholds (mean 2.85 P), sufficiently high sensing thresholds (mean 2.23 μJ) and stable lead impedances (mean 491.7 ohm). This technique offers a useful and secure method for patients with preoperative bradycardial arrhythmias who require implantation of a permanent atrial electrode during open-heart surgery.
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