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Related Experiment Videos

Atrial programmed pacing

N P Smyth

    Pacing and Clinical Electrophysiology : PACE
    |January 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Early J-shaped leads for atrial pacing had a 20% dislodgement rate. A new "tined" J lead demonstrated improved fixation and stability, with no dislodgements in a two-year follow-up.

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    Area of Science:

    • Cardiology
    • Biomedical Engineering
    • Medical Device Development

    Background:

    • Transvenous J-shaped leads were used for atrial programmed pacing.
    • Early iterations experienced a significant dislodgement rate of twenty percent.

    Purpose of the Study:

    • To evaluate the early clinical experience with a novel "tined" J-shaped lead.
    • To assess the fixation stability and efficacy of the new lead design.

    Main Methods:

    • Review of thirty-one patients receiving the original J-shaped lead.
    • Insertion and follow-up of twenty patients with the new "tined" J-shaped lead.
    • Assessment of lead stability and atrial programmed pacing efficacy.

    Main Results:

    Related Experiment Videos

  • Original J-lead had a twenty percent dislodgement rate.
  • The "tined" J-lead showed firm fixation in animal and human studies.
  • Fifteen patients with the "tined" J-lead had satisfactory pacing with zero dislodgements over two years and eight months.
  • Conclusions:

    • The "tined" J-lead significantly improves fixation and reduces dislodgement compared to earlier designs.
    • This new lead offers a stable and effective solution for transvenous atrial programmed pacing.
    • Further long-term studies are warranted to confirm durability.