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Endocardial lead placement

Fig. 4.68 Atrial lead placement through atriotomy and purseslring suture. Atrium and ventricular electrodes are positioned and the atriotomy is secured. (Westerman GR, Van Devanter SH. Transthoracic transatrial endocardial lead placement for permanent pacing. Ann Thorac Surg 1987 43(4) 445-446, with permission.)... Fig. 4.68 Atrial lead placement through atriotomy and purseslring suture. Atrium and ventricular electrodes are positioned and the atriotomy is secured. (Westerman GR, Van Devanter SH. Transthoracic transatrial endocardial lead placement for permanent pacing. Ann Thorac Surg 1987 43(4) 445-446, with permission.)...
Westerman GR, Van Devanter SH. Transthoracic transatrial endocardial lead placement for permanent pacing. Ann Thorac Surg 1987 43 445. [Pg.243]

FIGURE 17-13. Drawing showing automatic implantable cardioverter-defibrillators with newer methods of device placement. It shows an endocardial lead system where the leads are placed transvenously without the need for a thoracotomy. The generator is now small enough to be placed in the pectoral region of the chest. (From DiMarco, with permission.)... [Pg.345]

Aetive fixation extendable rehactable leads that require the lead stylet to be fully advanced for placement preclude the use of this floppy-tip technique. Occasionally, in a setting of a giant right atrium, atrial endocardial lead contact is difficult to achieve. In this circumstance, a stiffer stylet is recommended. This stylet is preformed into a more exaggerated curve. Subsequently, frustration is encountered because the stiffer stylet with a more exaggerated curve will not negotiate the venous system in the superior mediastinum. [Pg.160]

Fig. 4.69 Atrial lead placement. Insert in the upper right shows atrial endocardial lead being placed through the wall of the right atrial appendage with the tip of the pacemaker lead abutting the endocardial surface. A pursestring suture is placed around the lead at the point of entry. The relationship of the atrial lead is also shown. (Hayes DL, Vhetstra RE, Puga FJ, et al. A novel approach to atrial endocardial pacing. Pacing Clin Electrophysiol 1989 12(1 Pt 1) 125-130, with permission.)... Fig. 4.69 Atrial lead placement. Insert in the upper right shows atrial endocardial lead being placed through the wall of the right atrial appendage with the tip of the pacemaker lead abutting the endocardial surface. A pursestring suture is placed around the lead at the point of entry. The relationship of the atrial lead is also shown. (Hayes DL, Vhetstra RE, Puga FJ, et al. A novel approach to atrial endocardial pacing. Pacing Clin Electrophysiol 1989 12(1 Pt 1) 125-130, with permission.)...
Table 4.14 Endocardial approaches for coronary sinus left ventricular lead placement. Table 4.14 Endocardial approaches for coronary sinus left ventricular lead placement.
IV. Add coronary sinus lead ipsilaterally plus contralateral endocardial pacing and shocking electrode placement... [Pg.217]


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See also in sourсe #XX -- [ Pg.182 , Pg.183 ]




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