Transatrial lead placement for endocardial pacing in children

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

Research output: Contribution to journalArticle

21 Scopus citations

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
JournalThe Annals of Thoracic Surgery
Volume58
Issue number1
DOIs
StatePublished - Jul 1994
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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    Hoyer, M. H., 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. The Annals of Thoracic Surgery, 58(1), 97-102. https://doi.org/10.1016/0003-4975(94)91078-2