Document Detail


A new temporary atrial pacing catheter inserted percutaneously into the subclavian vein without fluoroscopy: a preliminary report.
MedLine Citation:
PMID:  6167965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A permanently formed "J" shaped 6F bipolar electrode catheter specially designed to facilitate temporary atrial pacing was constructed and tested in 15 patients. A pair of rigid, "orienting wings" was fixed to the catheter 28 cm from a large spherical tip electrode to establish directional orientation of the "J" while in the right atrium. Rapid percutaneous introduction is possible with a peel-away sheath via the subclavian vein. Positioning in the right atrium can be accomplished without fluoroscopy. The catheter could be inserted and positioned against the right atrial wall generally in less than three minutes and required little or no additional manipulation for capture. No instance of loss of capture was documented during subsequent continuous monitoring as the catheter remained in place from one to thirteen days. Ease of insertion of this electrode catheter, as well as stability, provided an effective method for temporary atrial pacing without fluoroscopy. This novel catheter design warrants testing in a large patient population by others and could have a potential application to other types of catheter needs.
Authors:
P O Littleford; C J Pepine
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  4     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1981 Jul 
Date Detail:
Created Date:  1981-10-25     Completed Date:  1981-10-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  458-64     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Fluoroscopy
Heart Catheterization / adverse effects,  methods*
Humans
Middle Aged
Pacemaker, Artificial* / adverse effects
Subclavian Vein / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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