Permanent Epicardial Pacing Lead Implantation for Scheduled Multistage Operations in Fontan Candidate

The use of an epicardial pacing lead may be essential in pediatric patients with rhythm disturbances. In patients with single-ventricle physiology who need scheduled multistage operations, the lead could be an obstacle because of the induction of tight adhesions and the need for dissection in the ne...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 98; no. 1; pp. 355 - 356
Main Authors Ikai, Akio, MD, PhD, Koizumi, Junichi, MD, PhD, Kanno, Kazuyoshi, MD, Iwase, Tomoyuki, MD, Furutake, Tatsuya, MD, Okabayashi, Hitoshi, MD, PhD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.07.2014
Subjects
Arrhythmia, Sinus - etiology
Arrhythmia, Sinus - physiopathology
Arrhythmia, Sinus - therapy
Cardiac Pacing, Artificial - methods
Cardiothoracic Surgery
Follow-Up Studies
Fontan Procedure - adverse effects
Heart Defects, Congenital - surgery
Heart Rate
Humans
Infant
Infant, Newborn
Pericardium
Surgery
21
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Summary:The use of an epicardial pacing lead may be essential in pediatric patients with rhythm disturbances. In patients with single-ventricle physiology who need scheduled multistage operations, the lead could be an obstacle because of the induction of tight adhesions and the need for dissection in the next operation. We propose a novel reproducible technique for the placement of an epicardial pacing lead followed by easy dissection of the entire length of the lead in the next operation in neonates or young infants who need multistage operations.
Bibliography:ObjectType-Article-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2013.11.062