PMID: 518184Dec 1, 1979Paper

Results of epicardial pacing by the left subcostal approach

The Annals of Thoracic Surgery
G M LawrieM E DeBakey

Abstract

We have determined the clinical course of 200 consecutive patients (mean age, 67.5 years) in whom epicardial pacing was established by the left subcostal route by insertion of 2 sutureless myocardial electrodes and a demand bipolar generator. There was 1 intraoperative death (0.5%). The overall 30-day perioperative mortality was 4 of 200 patients (2.0%). The principal postoperative complications included postpericardiotomy syndrome in 8 patients (4.0%), pneumonia or marked atelectasis in 2 patients (1.0%), and pulmonary embolus in 1 patient. Hemiplegia developed in 2 patients at 9 and 10 days, respectively, after operation, and transient monoparesis developed in another patient (1.5%). There were no wound infections, but the one wound dehiscence required resuturing. Follow-up has been completed in all patients from 1 to 39 months postoperatively (mean, 14.9 months). There have been 21 late deaths. Late lead thresholds were recorded for 45 individual leads from 26 patients up to 35 months after operation. The results obtained indicate that for patients undergoing primary implantation, the sutureless myocardial electrode provides reliable lead function. However, patients who required reoperation because of previous pacemaker fail...Continue Reading

References

Mar 1, 1978·The American Journal of Cardiology·A B Simon, A E Zloto
Aug 1, 1976·The Annals of Thoracic Surgery·W S StoneyC S Thomas
Jan 1, 1977·Annals of Surgery·S P NolanW H Muller
Dec 1, 1974·British Heart Journal·H Siddons
Apr 1, 1973·British Heart Journal·M M ZionI W Obel

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Citations

May 1, 1984·Meditsinskaia tekhnika·D F EgorovP F Iarmilko
Nov 26, 2009·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Mohammad Al-BatainehSteven Kutalek
Mar 1, 1993·Pacing and Clinical Electrophysiology : PACE·M E HelgueraS L Pinski
May 30, 1998·Pacing and Clinical Electrophysiology : PACE·M R EpsteinW J Gamble
Oct 30, 2004·The Annals of Thoracic Surgery·Ilana ZeltserMitchell I Cohen
Nov 1, 1982·Pacing and Clinical Electrophysiology : PACE·A B SimonH Sloan
Jun 11, 1998·Emergency Medicine Clinics of North America·B XieV K Hoon
Jan 1, 1988·The American Journal of Cardiology·G A SerwerB E Armstrong
Jul 27, 1999·The Annals of Thoracic Surgery·K G WarnerD D Payne
Nov 1, 1984·Pacing and Clinical Electrophysiology : PACE·G M LawrieC R Wyndham
Jan 1, 1982·Pacing and Clinical Electrophysiology : PACE·T M BashoreG S Wagner
May 1, 1983·Pacing and Clinical Electrophysiology : PACE·L R ColosimoM E Debakey
Mar 1, 1984·Pacing and Clinical Electrophysiology : PACE·D P MorseG M Lemole
Jan 1, 1986·Pflügers Archiv : European journal of physiology·J NedomaS Tucek
Feb 1, 1986·Archiv für Tierernährung·K BodaA R Egan

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