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Atrial Programmed Pacing *
Author(s) -
SMYTH NICHOLAS P.D.
Publication year - 1978
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1978.tb03446.x
Subject(s) - medicine , lead (geology) , fixation (population genetics) , cardiology , appendage , surgery , anatomy , population , environmental health , geomorphology , geology
Early experience with a J‐shaped lead inserted transvenously into the right atrial appendage is reviewed in thirty‐one patients. Fifteen patients are still being followed with satisfactory atrial programmed pacing for five to (en years. A dislodgement rate of twenty percent led to the development of the “lined” J lead in the hope that better fixation would be achieved. Experimental data has shown the new lead to be stable with evidence in both animal and man of firm fixation of the lead in the appendage. The lead has been inserted in twenty patients. Of these, fifteen are still being followed with satisfactory atrial programmed pacing. There has been no case of dislodgement of the lead in a follow‐up period of two years and eight months.