| Development of a novel temporary epicardial pacing wire with biodegradable film. | |
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MedLine Citation:
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PMID: 16996959 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: A temporary epicardial pacing wire (TEPW) has been routinely placed in patients undergoing cardiac surgery. However, its fixation or removal occasionally causes troublesome complications. The aim of this study is to develop a novel TEPW using biodegradable film to fix the electrode to the epicardium without needle stabbing. DESCRIPTION: A biodegradable film was prepared with poly(L-lactide-co-epsilon-caprolactone). The film has a honeycomb-patterned structure that serves as a temporary adhesive for the myocardial surface, and the electrode was incorporated within the film. The novel TEPW was placed on the ventricular epicardium of dogs (group A, n = 5). As a control, conventional TEPW was inserted (group B, n = 6). The pacing threshold, R wave amplitude, impedance, and slew rate were measured at postoperative days 0, 1, 3, 5, 7, and 14, and complications after removal were checked. EVALUATION: All measurements in both groups were identified and differences were not observed. In addition, the novel TEPWs could be easily removed without related complications. CONCLUSIONS: This novel TEPW is safe and feasible for postoperative management of cardiac surgeries. |
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Authors:
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Yuji Narita; Yukako Fukuhira; Hideaki Kagami; Eiichi Kitazono; Hiroaki Kaneko; Yoshihiko Sumi; Akihiko Usui; Minoru Ueda; Yuichi Ueda |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 82 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-09-25 Completed Date: 2006-10-17 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1489-93 Citation Subset: AIM; IM |
Affiliation:
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Department of Tissue Engineering, Nagoya University School of Medicine, Nagoya, Japan. ynarita@med.nagoya-u.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Absorbable Implants* Animals Arrhythmias, Cardiac / etiology, therapy* Cardiac Pacing, Artificial Cardiac Surgical Procedures / adverse effects Coated Materials, Biocompatible / therapeutic use Dogs Electrodes, Implanted Equipment Design Female Hexanoic Acids / therapeutic use Lactones / therapeutic use Male Pacemaker, Artificial* Pericardium Polyesters / therapeutic use Suture Techniques Tissue Adhesives / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Coated Materials, Biocompatible; 0/Hexanoic Acids; 0/Lactones; 0/Polyesters; 0/Tissue Adhesives; 26969-66-4/poly(lactide); 502-44-3/caprolactone |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2006 Oct;82(4):1493
[PMID:
16996960
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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