Transvenous pacing implantation: techniques, tips, and lessons learned along the way

The right ventricular apex has been the traditional site for lead placement in veterinary patients who require permanent cardiac pacing therapy for atrioventricular block and sick sinus syndrome. Implantation of leads in this location is a straightforward procedure that most veterinary cardiologists...

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Published in:Journal of veterinary cardiology Vol. 22; pp. 51 - 64
Main Authors: Estrada, A.H., Maisenbacher, H.W., Jones, A.E., Prošek, R., Kleman, M.E., Bryant, R.M.
Format: Journal Article
Language:English
Published: Netherlands Elsevier B.V 01-04-2019
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Abstract The right ventricular apex has been the traditional site for lead placement in veterinary patients who require permanent cardiac pacing therapy for atrioventricular block and sick sinus syndrome. Implantation of leads in this location is a straightforward procedure that most veterinary cardiologists perform routinely. Pacing at the right ventricular apex, however, has been demonstrated to have long-term deleterious effects on the left ventricular function in numerous patient populations and animal models. Alternative lead placement sites and pacing system configurations have been developed, and the purpose of this review article is not to review the literature or the decision-making process in selecting a specific pacing system but rather to share the experiences of our group with the use of alternative pacing implantation techniques for veterinary patients in need of permanent cardiac pacing.
AbstractList The right ventricular apex has been the traditional site for lead placement in veterinary patients who require permanent cardiac pacing therapy for atrioventricular block and sick sinus syndrome. Implantation of leads in this location is a straightforward procedure that most veterinary cardiologists perform routinely. Pacing at the right ventricular apex, however, has been demonstrated to have long-term deleterious effects on the left ventricular function in numerous patient populations and animal models. Alternative lead placement sites and pacing system configurations have been developed, and the purpose of this review article is not to review the literature or the decision-making process in selecting a specific pacing system but rather to share the experiences of our group with the use of alternative pacing implantation techniques for veterinary patients in need of permanent cardiac pacing.
Author Estrada, A.H.
Prošek, R.
Maisenbacher, H.W.
Kleman, M.E.
Jones, A.E.
Bryant, R.M.
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  surname: Prošek
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  surname: Bryant
  fullname: Bryant, R.M.
  organization: Dept. of Pediatrics, University of Florida, College of Medicine, Jacksonville, FL, Gainesville, FL, USA
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Keywords Right ventricular pacing
Artificial cardiac pacing
Right atrial pacing
Left ventricular pacing
Biventricular pacing
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Snippet The right ventricular apex has been the traditional site for lead placement in veterinary patients who require permanent cardiac pacing therapy for...
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StartPage 51
SubjectTerms Animals
Artificial cardiac pacing
Atrioventricular Block - therapy
Atrioventricular Block - veterinary
Biventricular pacing
Cardiac Pacing, Artificial - methods
Cardiac Pacing, Artificial - veterinary
Heart Ventricles
Left ventricular pacing
Pacemaker, Artificial - veterinary
Right atrial pacing
Right ventricular pacing
Sick Sinus Syndrome - therapy
Sick Sinus Syndrome - veterinary
Title Transvenous pacing implantation: techniques, tips, and lessons learned along the way
URI https://dx.doi.org/10.1016/j.jvc.2018.08.002
https://www.ncbi.nlm.nih.gov/pubmed/30661842
https://search.proquest.com/docview/2179379415
Volume 22
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