Usefulness of a "Push Technique" for Atrial Lead Implantation

Kwang Soo Cha, Jeong Gwan Cho, Ju Han Kim, Jun Woo Kim, Sung Hee Kim, Youl Bae, Young Keun Ahn, Jong Cheol Park, Jeong Pyung Seo, Joo Hyung Park, Myung Ho Jeong, Jong Chun Park (+1 others)
1998 Korean Circulation Journal  
and Objectives Dual-chamber pacing is commonly used as a pacing mode maintaining atrioventricular synchrony. However, traditional technique for atrial J lead implantation is relatively timeconsuming and not easy to get optimal sites for both atrial and ventricular leads, especially for lessexperienced operators. We developed a new push technique for atrial J lead implantation. Materials and Method This study included sixty-two consecutive patients 26 males 36 females, 55 10 years, 56 patients
more » ... ears, 56 patients received DDD and 6 received AAI pacemakers from Jan. 1992 through Dec. 1996. Atrial J leads were implanted using a push technique , that is, simply advancing a straightened lead while holding the stylet in the pacing lead at the junction of the superior vena cava and the right atrium. We evaluated the early and long-term result of atrial J lead implantation by the push technique . Results 1 Atrial leads were successfully inserted by the first or second trial of the push technique in the 62 patients 100% . The sensed P wave amplitude was 3.1 1.0 mV, pacing threshold 0.6 0.2 V at the pulse width of 0.5 ms, impedance 547.4 118.5 ohms at 5 V. 2 During follow-up of 28.1 15.7 months, significant changes in the pacing parameters and the dislodgement of atrial leads were not seen. Conclusion The early and long-term result of atrial J lead implantation by the push technique was excellent. This push technique can be used as an easy alternative technique for atrial J lead implantation. Korean Circulation J 1998 ; 28 7 : 1091-1095 KEY WORDS Atrial lead implantation technique·Permanent pacemaker.
doi:10.4070/kcj.1998.28.7.1091 fatcat:mfkmdmxozvaarotkpkcq37hsva