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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.