A new temporary atrial pacing catheter inserted percutaneously into the subclavian vein without fluoroscopy: a preliminary report. 1981

P O Littleford, and C J Pepine

A permanently formed "J" shaped 6F bipolar electrode catheter specially designed to facilitate temporary atrial pacing was constructed and tested in 15 patients. A pair of rigid, "orienting wings" was fixed to the catheter 28 cm from a large spherical tip electrode to establish directional orientation of the "J" while in the right atrium. Rapid percutaneous introduction is possible with a peel-away sheath via the subclavian vein. Positioning in the right atrium can be accomplished without fluoroscopy. The catheter could be inserted and positioned against the right atrial wall generally in less than three minutes and required little or no additional manipulation for capture. No instance of loss of capture was documented during subsequent continuous monitoring as the catheter remained in place from one to thirteen days. Ease of insertion of this electrode catheter, as well as stability, provided an effective method for temporary atrial pacing without fluoroscopy. This novel catheter design warrants testing in a large patient population by others and could have a potential application to other types of catheter needs.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010138 Pacemaker, Artificial A device designed to stimulate, by electric impulses, contraction of the heart muscles. It may be temporary (external) or permanent (internal or internal-external). Cardiac Pacemaker, Artificial,Artificial Cardiac Pacemaker,Artificial Cardiac Pacemakers,Artificial Pacemaker,Artificial Pacemakers,Cardiac Pacemakers, Artificial,Pacemaker, Artificial Cardiac,Pacemakers, Artificial,Pacemakers, Artificial Cardiac
D005471 Fluoroscopy Production of an image when x-rays strike a fluorescent screen. Fluoroscopies
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013350 Subclavian Vein The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein. Subclavian Veins,Vein, Subclavian,Veins, Subclavian

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