A Novel Approach to Atrial Endocardial Pacing | Zendy

Hayes David L. | Zendy; Vlietstra Ronald E. | Zendy; Puga Francisco J. | Zendy; Shub Clarence | Zendy

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A Novel Approach to Atrial Endocardial Pacing

Author(s) -

Hayes David L.,

Vlietstra Ronald E.,

Puga Francisco J.,

Shub Clarence

Publication year - 1989

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/pace.1989.12.p1.125

Subject(s) - medicine , appendage , cardiology , atrial appendage , tricuspid valve , atrial fibrillation , lead (geology) , anatomy , sinus rhythm , geomorphology , geology

We describe a patient who had tricuspid valve replacement and in whom dual‐chamber pacing was accomplished by using a ventricular epicardial lead and by placing an atrial endocardial lead through the wall of the atrial appendage and positioning the tip against the endocardial surface of the atrial appendage. A ligature was placed around the atrial appendage where the lead passed through the wall of the right atrial appendage. This obviated the need for a second procedure to place the atrial lead in a transvenous fashion. After 5 years of follow‐up the patient continues with normal DVI pacing.

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