| A novel approach to transvenous dual-chamber pacing lead placement and cardiac defibrillator implantation after tricuspid valve replacement. | |
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MedLine Citation:
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PMID: 18179526 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pacing and Defibrillation Therapy. We report the successful use of a percutaneous, totally transvenous endocardial approach to atrioventricular pacing and internal cardiac defibrillation in an adult patient with tetralogy of Fallot who had undergone three previous cardiac operations, including a tricuspid valve replacement. Ventricular pacing and sensing were achieved with a bipolar lead in the lateral cardiac vein, and atrial pacing was attained in the region of Bachmann's bundle. Internal defibrillation was achieved with a coil lead in the middle cardiac vein and an "active can" pulse generator in the retromammary position. This minimally invasive method has significant potential benefits because it avoids epicardial placement via a thoracotomy and allows endocardial placement without crossing the tricuspid valve. |
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Authors:
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J Alberto Lopez; Roberto Lufschanowski |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2007-12-20 |
Journal Detail:
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Title: Journal of cardiovascular electrophysiology Volume: 19 ISSN: 1540-8167 ISO Abbreviation: J. Cardiovasc. Electrophysiol. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-08-28 Completed Date: 2008-10-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9010756 Medline TA: J Cardiovasc Electrophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 873-5 Citation Subset: IM |
Affiliation:
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Department of Cardiology, and Electrophysiology, Texas Heart Institute at St. Luke's Episcopal Hospital, Baylor College of Medicine, Houston, Texas, USA. jalopez@bcm.tmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Defibrillators, Implantable* Electrodes, Implanted* Female Heart Valve Prosthesis Implantation / adverse effects* Humans Pacemaker, Artificial* Prosthesis Implantation / methods* Tachycardia, Ventricular / etiology*, prevention & control* Treatment Outcome Tricuspid Valve / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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