PMID: 3760026Sep 1, 1986Paper

Temporary pacing leads in cardiac surgery. A comparison of multifilament braided electrode and localized solitary stainless steel electrode

The Journal of Cardiovascular Surgery
W T Wigneswaran, M P Jamieson

Abstract

The standard braided wire lead used for temporary pacing following open heart surgery may be rendered ineffective by high current thresholds. In this study braided leads were compared with a lead incorporating a localised stainless steel electrode in 17 patients undergoing routine cardiac surgical procedures. Each patient acted as his own control. The localised electrode lead gave significantly lower current and voltage thresholds compared to the braided lead, this difference being apparent both on the day of operation and prior to lead removal (p less than 0.0005). Use of a lead incorporating a localised electrode is therefore less likely to be restricted by difficulties in capture and sensing.

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