PMID: 8945050Nov 1, 1996Paper

Incidence of perforation and other mechanical complications during dual active fixation

Pacing and Clinical Electrophysiology : PACE
A J TriganoS Lévy

Abstract

The intraoperative and early postoperative mechanical complications of a procedure combining an atrial screw-in lead and a ventricular screw-in lead insertion were prospectively evaluated. The procedure was performed in 119 consecutive patients (mean age 69 +/- 8 years), at first implant in 100 patients and at reoperation in 19. Nine patients had previously undergone cardiac surgery and three underwent transvenous ventricular defibrillator implantation. The double sets of leads were introduced through 2 separate veins in 5 cases, through a single venous route in 114 cases, using a percutaneous approach in 75 cases and a venous cutdown in 49, and a guidewire procedure following the venotomy in 19. The screw was mannitol coated in 102 cases, exposed in 111, and extendable/retractable in 25. The fixation of the ventricular lead was performed at the apex in 108 cases, at the outflow tract in 11, and was followed by the fixation of the atrial lead at the appendage in 112 cases and at the lateral wall in 7 cases. The lead positioning and fixation were successful at first attempt in 103 cases and after repeated lead manipulation in 19 cases. The rotational torque could be transferred to the helix in all cases except in one patient who...Continue Reading

References

Sep 1, 1995·Pacing and Clinical Electrophysiology : PACE·V ParsonnetD Neglia
May 1, 1993·Pacing and Clinical Electrophysiology : PACE·H JamidarD W Reynolds
Oct 1, 1994·Pacing and Clinical Electrophysiology : PACE·G E PayneJ D Skehan
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Citations

Mar 20, 2012·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Riccardo CappatoGust H Bardy
Apr 12, 2012·Journal of Veterinary Internal Medicine·A H EstradaN S Moïse
Oct 17, 2008·Journal of the American Veterinary Medical Association·Sarah E AchenLori T Drourr
Mar 24, 2000·The Journal of Emergency Medicine·T GershonJ Olshaker
Jul 13, 2011·Journal of Biomechanical Engineering·Xuefeng ZhaoGhassan S Kassab
Feb 6, 2016·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Óscar CanoLuis Martínez-Dolz
Dec 24, 2008·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Andrew E EpsteinDaniel S Goldman
May 28, 2008·Journal of Cardiothoracic and Vascular Anesthesia·Giuseppe BorianiCristian Martignani
Mar 1, 2005·Pacing and Clinical Electrophysiology : PACE·Mohammed N KhanBruce L Wilkoff
Apr 18, 2007·Pacing and Clinical Electrophysiology : PACE·Vitaly GeyfmanJess W Oren
May 3, 2006·Pacing and Clinical Electrophysiology : PACE·Hatice SelcukSule Korkmaz
Aug 23, 2006·Pacing and Clinical Electrophysiology : PACE·Michael D GammageUNKNOWN Worldwide SelectSecure Clinical Investigators
May 13, 2006·Pacing and Clinical Electrophysiology : PACE·Charles A HenriksonJeffrey A Brinker
Sep 13, 2012·Journal of Cardiovascular Electrophysiology·Riccardo CappatoGust H Bardy
May 7, 2013·International Journal of Cardiology·Sidakpal S PanaichLuis Afonso
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Georgios SouretisKyriakos Lazarides
Dec 8, 2016·Journal of Cardiovascular Electrophysiology·Mate VamosStefan H Hohnloser
Feb 7, 2004·Pacing and Clinical Electrophysiology : PACE·Takashi TokanoHiroyuki Daida
Aug 2, 2018·Pacing and Clinical Electrophysiology : PACE·Yan WangHai-Jun Zhang
Sep 5, 2013·Circulation. Cardiovascular Quality and Outcomes·Jonathan C HsuGregory M Marcus
Jun 3, 1999·Pacing and Clinical Electrophysiology : PACE·M S KiviniemiJ E Hartikainen
May 5, 2005·Pacing and Clinical Electrophysiology : PACE·Clifford C SebastianPranav M Patel
Jun 4, 2019·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Moshe Rav AchaAharon Medina
Jan 1, 2017·JACC. Clinical Electrophysiology·Jonathan C Hsu
Jan 1, 2017·JACC. Clinical Electrophysiology·Kasra MoazzamiAlfonso H Waller

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