Usefulness of a "Push Technique" for Atrial Lead Implantation.
10.4070/kcj.1998.28.7.1091
- Author:
Kwang Soo CHA
1
;
Jeong Gwan CHO
;
Ju Han KIM
;
Jun Woo KIM
;
Sung Hee KIM
;
Youl BAE
;
Young Keun AHN
;
Jong Cheol PARK
;
Jeong Pyung SEO
;
Joo Hyung PARK
;
Myung Ho JEONG
;
Jong Chun PARK
;
Jung Chaee KANG
Author Information
1. Department of Cardiology, Chonnam University Hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Atrial lead implantation technique;
Permanent pacemaker
- MeSH:
Dichlorodiphenyldichloroethane;
Electric Impedance;
Female;
Follow-Up Studies;
Heart Atria;
Humans;
Male;
Vena Cava, Superior
- From:Korean Circulation Journal
1998;28(7):1091-1095
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Dual-chamber pacing is commonly used as a pacing mode maintaining at-rioventricular synchrony. However, traditional technique for atrial J lead implantation is relatively time-consuming and not easy to get optimal sites for both atrial and ventricular leads, especially for less-experienced operators. We developed a new "push technique" for atrial J lead implantation. MATERIALS AND METHOD: This study included sixty-two consecutive patients (26 males 36 females, 55+/-10 years, 56 patients received DDD and 6 received AAI pacemakers) from Jan. 1992 through Dec. 1996. Atrial J leads were implanted using a "push technique", that is, simply advancing a straightened lead while holding the stylet in the pacing lead at the junction of the superior vena cava and the right atrium. We evaluated the early and long-term result of atrial J lead implantation by the "push technique". RESULTS: 1) Atrial leads were successfully inserted by the first or second trial of the "push technique" in the 62 patients (100%). The sensed P wave amplitude was 3.1+/-1.0 mV, pacing threshold 0.6+/-0.2 V at the pulse width of 0.5 ms, impedance 547.4+/-118.5 ohms at 5 V. 2) During follow-up of 28.1+/-15.7 months, significant changes in the pacing parameters and the dislodgement of atrial leads were not seen. CONCLUSION: The early and long-term result of atrial J lead implantation by the "push technique" was excellent. This "push technique" can be used as an easy alternative technique for atrial J lead implantation.
