Transatrial lead placement for endocardial pacing in children

Mark Hoyer, Lee B. Beerman, Jose A. Ettedgui, Sang C. Park, Pedro J. Del Nido, Ralph D. Siewers

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Transvenous placement of endocardial leads in children may be difficult due to restrictions and complications of vascular access. We have placed endocardial leads from a transatrial approach in 5 children with various cardiac malformations. The usual surgical approach involved an anterolateral thoracotomy and, under fluoroscopic guidance, passage of the lead tip directly through the right atrial wall and across the tricuspid valve to the apex of the right ventricle. At a mean follow-up time of 23.2 months (range, 12.0 to 27.9 months), all patients have low thresholds for myocardial capture, and there have been no complications. We conclude that placement of endocardial leads by a transatrial approach provides an excellent alternative to an epicardial system in children destined for lifelong pacing.

Original languageEnglish (US)
Pages (from-to)97-102
Number of pages6
JournalAnnals of Thoracic Surgery
Volume58
Issue number1
StatePublished - Jul 1994
Externally publishedYes

Fingerprint

Tricuspid Valve
Thoracotomy
Heart Ventricles
Blood Vessels
Lead

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Hoyer, M., Beerman, L. B., Ettedgui, J. A., Park, S. C., Del Nido, P. J., & Siewers, R. D. (1994). Transatrial lead placement for endocardial pacing in children. Annals of Thoracic Surgery, 58(1), 97-102.

Transatrial lead placement for endocardial pacing in children. / Hoyer, Mark; Beerman, Lee B.; Ettedgui, Jose A.; Park, Sang C.; Del Nido, Pedro J.; Siewers, Ralph D.

In: Annals of Thoracic Surgery, Vol. 58, No. 1, 07.1994, p. 97-102.

Research output: Contribution to journalArticle

Hoyer, M, Beerman, LB, Ettedgui, JA, Park, SC, Del Nido, PJ & Siewers, RD 1994, 'Transatrial lead placement for endocardial pacing in children', Annals of Thoracic Surgery, vol. 58, no. 1, pp. 97-102.
Hoyer M, Beerman LB, Ettedgui JA, Park SC, Del Nido PJ, Siewers RD. Transatrial lead placement for endocardial pacing in children. Annals of Thoracic Surgery. 1994 Jul;58(1):97-102.
Hoyer, Mark ; Beerman, Lee B. ; Ettedgui, Jose A. ; Park, Sang C. ; Del Nido, Pedro J. ; Siewers, Ralph D. / Transatrial lead placement for endocardial pacing in children. In: Annals of Thoracic Surgery. 1994 ; Vol. 58, No. 1. pp. 97-102.
@article{12bd94fa7c5c41dcba1c9a7b91c92641,
title = "Transatrial lead placement for endocardial pacing in children",
abstract = "Transvenous placement of endocardial leads in children may be difficult due to restrictions and complications of vascular access. We have placed endocardial leads from a transatrial approach in 5 children with various cardiac malformations. The usual surgical approach involved an anterolateral thoracotomy and, under fluoroscopic guidance, passage of the lead tip directly through the right atrial wall and across the tricuspid valve to the apex of the right ventricle. At a mean follow-up time of 23.2 months (range, 12.0 to 27.9 months), all patients have low thresholds for myocardial capture, and there have been no complications. We conclude that placement of endocardial leads by a transatrial approach provides an excellent alternative to an epicardial system in children destined for lifelong pacing.",
author = "Mark Hoyer and Beerman, {Lee B.} and Ettedgui, {Jose A.} and Park, {Sang C.} and {Del Nido}, {Pedro J.} and Siewers, {Ralph D.}",
year = "1994",
month = "7",
language = "English (US)",
volume = "58",
pages = "97--102",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "1",

}

TY - JOUR

T1 - Transatrial lead placement for endocardial pacing in children

AU - Hoyer, Mark

AU - Beerman, Lee B.

AU - Ettedgui, Jose A.

AU - Park, Sang C.

AU - Del Nido, Pedro J.

AU - Siewers, Ralph D.

PY - 1994/7

Y1 - 1994/7

N2 - Transvenous placement of endocardial leads in children may be difficult due to restrictions and complications of vascular access. We have placed endocardial leads from a transatrial approach in 5 children with various cardiac malformations. The usual surgical approach involved an anterolateral thoracotomy and, under fluoroscopic guidance, passage of the lead tip directly through the right atrial wall and across the tricuspid valve to the apex of the right ventricle. At a mean follow-up time of 23.2 months (range, 12.0 to 27.9 months), all patients have low thresholds for myocardial capture, and there have been no complications. We conclude that placement of endocardial leads by a transatrial approach provides an excellent alternative to an epicardial system in children destined for lifelong pacing.

AB - Transvenous placement of endocardial leads in children may be difficult due to restrictions and complications of vascular access. We have placed endocardial leads from a transatrial approach in 5 children with various cardiac malformations. The usual surgical approach involved an anterolateral thoracotomy and, under fluoroscopic guidance, passage of the lead tip directly through the right atrial wall and across the tricuspid valve to the apex of the right ventricle. At a mean follow-up time of 23.2 months (range, 12.0 to 27.9 months), all patients have low thresholds for myocardial capture, and there have been no complications. We conclude that placement of endocardial leads by a transatrial approach provides an excellent alternative to an epicardial system in children destined for lifelong pacing.

UR - http://www.scopus.com/inward/record.url?scp=0028016350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028016350&partnerID=8YFLogxK

M3 - Article

VL - 58

SP - 97

EP - 102

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 1

ER -