PMID: 6169032Sep 1, 1981Paper

The use of the balloon-tipped floating catheter in temporary transvenous cardiac pacing

Pacing and Clinical Electrophysiology : PACE
R LangE Kaplinsky

Abstract

The effectiveness and safety of balloon-tipped, flow guided, electrodes for ventricular pacing as opposed to the fluoroscopy-guided semi-rigid bipolar electrodes have never been compared in a controlled study. A prospective study was therefore undertaken to compare both techniques in semi-elective and emergency procedures. Flow guided electrodes were inserted in 67 patients (group A) and semi-rigid electrodes in 44 patients (group B). The results of group A were judged to be superior to those of group B in four aspects: a) shorter time (6'45" vs. 13'30", p less than 0.0005); b) lower incidence of catheter displacement (13.4 vs. 32.0 percent, p less than 0.05); c) longer interval of time between implantation and catheter displacement (4.4 vs. 1.9 days, p less than 0.0005); d) lower incidence of serious ventricular arrhythmias during insertion (1.5 vs. 20.4 percent, p less than 0.005). Threshold at insertion was not significantly different (0.6 +/- 0.3 vs 0.7 +/- 0.2 milliampere). The superiority of flow-guided electrodes over fluoroscopy-guided electrodes persisted in the comparison of semielective insertions in groups A and B. We conclude that the flow-guided insertion technique is safer, more expeditious and more stable than t...Continue Reading

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Citations

Apr 4, 2006·Journal of the American College of Cardiology·Paul C ZeiLaurence M Epstein
Aug 14, 2003·Pacing and Clinical Electrophysiology : PACE·Nelangi PintoMaully J Shah
Feb 1, 1986·Annals of Emergency Medicine·S A SyverudM L Hanslits
Apr 16, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J A Belardi, P M Lamelas
Apr 26, 2020·Journal of Cardiovascular Medicine·Igor DiembergerUNKNOWN for AIAC Research Investigators
Oct 1, 1988·Anaesthesia·P W Allen, J J O'Toole
Aug 9, 2019·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·F V Y TjongR E Knops
Feb 1, 1985·Anaesthesia and Intensive Care·K D Donovan
Feb 19, 1990·The Medical Journal of Australia·M J Davis
May 28, 2021·Therapeutics and Clinical Risk Management·Meng Liu, Pingsheng Wu
Aug 30, 2021·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·Michael GliksonUNKNOWN ESC Scientific Document Group
Aug 30, 2021·European Heart Journal·Michael GliksonUNKNOWN ESC Scientific Document Group

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