Transthoracic and transvenous pacemaker implantation

Permanent ventricular pacemakers. Comparison of transthoracic and transvenous implantation.

In the series of 86 patients with the Stokes-Adams syndrome or with symptomatic bradycardia managed with permanently implanted ventricular pacemakers reported on, 35 patients had primary implantation of epicardial leads at thoracotomy and 51 had transvenous endocardial electrodes passed via the jugular venous system for permanent ventricular pacing. The transvenous method of permanent pacemaker...

Device for implantation of long-term transvenous cardiac pacemaker electrodes.

General anaesthesia is usually recommended for the most painful part of long-term transvenous pacemaker implantation, viz., the pulling subcutaneously of the end of the electrode from the neck incision to the site of pacemaker implantaition. The ability to perform this step, and therefore the whole procedure, under local anaesthesia is an advantage. We descrilbe a simple, inexpensive device whi...

Subclavian Vein Stenosis/Occlusion Following Transvenous Cardiac Pacemaker and Defibrillator Implantation: Incidence, Pathophysiology and Current Management

Efficacy and safety of non-permanent transvenous pacemaker implantation in an intensive care unit

Objective: To analyze the clinical indications for use, morbidity and mortality associated with a non-permanent transvenous pacemaker. Design: Prospective and observational study. Setting: Cardiac intensive care unit. Method: One hundred and eighty-two patients with non-permanent pacemakers implanted consecutively over a period of four years. Data collected: Main variables of interest were demo...

Pacemaker dependency after pacemaker implantation.

BACKGROUND Pacemaker dependency (PD) can be defined as the risk of serious injury or death from sudden pacemaker failure, an event more dangerous than progressive rate decrease. The aim of this study was to evaluate the incidence of PD during long-term follow-up after pacing system implantation. METHODS AND RESULTS The study included 3638 patients (mean age 65.3 +/- 10.2 years). Indications f...