Low interatrial septal pacing: A simple method
Background: Sinus node disease is associated with widespread structural and electrophysiological changes in the atria in addition to abnormalities at the sinus node. The atrial conduction disorder in patients with atrial pacing results in higher incidence of atrial fibrillation. Studies have shown t...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-11-01
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| Series: | Indian Heart Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483216302322 |
| _version_ | 1818732900253696000 |
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| author | Asit Das Dhiman Kahali Shibananda Dutta |
| author_facet | Asit Das Dhiman Kahali Shibananda Dutta |
| author_sort | Asit Das |
| collection | DOAJ |
| description | Background: Sinus node disease is associated with widespread structural and electrophysiological changes in the atria in addition to abnormalities at the sinus node. The atrial conduction disorder in patients with atrial pacing results in higher incidence of atrial fibrillation. Studies have shown that low interatrial septal pacing is superior to right atrial appendage pacing in preventing persistent or permanent atrial fibrillation in these patients. However, implantation of active fixation lead in low interatrial septal position is difficult and time consuming with conventional stylet, inhibiting application of this method in routine practice.
Method: The technique of implanting atrial pacing lead in low interatrial septum with hand-made stylet is presented in this study with emphasis on fluoroscopic landmark and electrocardiographic P wave pattern.
Results: The results indicate acute and short-term success of low interatrial septal pacing in 10 patients out of 11 patients without major complications. Pacing parameters during implantation and 3 months post procedure were within normal limits.
Conclusion: The initial favorable results of this study indicate low interatrial septal pacing with conventional active fixation lead using fluoroscopic landmark and electrocardiographic characteristics is feasible and reproducible with a simple technique. |
| first_indexed | 2024-12-17T23:40:55Z |
| format | Article |
| id | doaj.art-d5dd29f847344fb6ace139bce187eb69 |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-17T23:40:55Z |
| publishDate | 2017-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-d5dd29f847344fb6ace139bce187eb692022-12-21T21:28:26ZengElsevierIndian Heart Journal0019-48322017-11-0169672573010.1016/j.ihj.2017.06.003Low interatrial septal pacing: A simple methodAsit Das0Dhiman Kahali1Shibananda Dutta2Department of Cardiology, IPGME&R and SSKM Hospital, Kolkata, IndiaB. M. Birla Heart Research Centre, Kolkata, IndiaICVS, IPGME&R and SSKM Hospital, Kolkata, IndiaBackground: Sinus node disease is associated with widespread structural and electrophysiological changes in the atria in addition to abnormalities at the sinus node. The atrial conduction disorder in patients with atrial pacing results in higher incidence of atrial fibrillation. Studies have shown that low interatrial septal pacing is superior to right atrial appendage pacing in preventing persistent or permanent atrial fibrillation in these patients. However, implantation of active fixation lead in low interatrial septal position is difficult and time consuming with conventional stylet, inhibiting application of this method in routine practice. Method: The technique of implanting atrial pacing lead in low interatrial septum with hand-made stylet is presented in this study with emphasis on fluoroscopic landmark and electrocardiographic P wave pattern. Results: The results indicate acute and short-term success of low interatrial septal pacing in 10 patients out of 11 patients without major complications. Pacing parameters during implantation and 3 months post procedure were within normal limits. Conclusion: The initial favorable results of this study indicate low interatrial septal pacing with conventional active fixation lead using fluoroscopic landmark and electrocardiographic characteristics is feasible and reproducible with a simple technique.http://www.sciencedirect.com/science/article/pii/S0019483216302322Interatrial septumCoronary sinusPacing |
| spellingShingle | Asit Das Dhiman Kahali Shibananda Dutta Low interatrial septal pacing: A simple method Indian Heart Journal Interatrial septum Coronary sinus Pacing |
| title | Low interatrial septal pacing: A simple method |
| title_full | Low interatrial septal pacing: A simple method |
| title_fullStr | Low interatrial septal pacing: A simple method |
| title_full_unstemmed | Low interatrial septal pacing: A simple method |
| title_short | Low interatrial septal pacing: A simple method |
| title_sort | low interatrial septal pacing a simple method |
| topic | Interatrial septum Coronary sinus Pacing |
| url | http://www.sciencedirect.com/science/article/pii/S0019483216302322 |
| work_keys_str_mv | AT asitdas lowinteratrialseptalpacingasimplemethod AT dhimankahali lowinteratrialseptalpacingasimplemethod AT shibanandadutta lowinteratrialseptalpacingasimplemethod |