Sage Journals: Discover world-class research

Abstract

We describe a new electrode which uses the self-anchoring property of an ejectable dart to remain in permanent contact with the right ventricular myocardium. In longrange animal experiments, there were neither disloca tions nor mechanical failures. Both acute and chronic threshold measure ments, as well as sensing characteristics, remained acceptable. The experi mental lead was applied in a clinical case refractory to treatment by other electrodes.

The application of this dart-electrode appears to be indicated when elec trode instability occurs. Further well-controlled clinical trials appear to be necessary before it could be recommended for routine clinical use for all patients requiring transvenous pacemaker implants.

Get full access to this article

View all access options for this article.

References

Bisping, H.J. : Übersicht uber verankenbare transvenöse Schrittmachersonden . Biomed. Tecknik, 24: 16, 1979.

Bleifeld, W. , Irnich, W. , Effect, S.A. : A new transvenous electrode with myocardial fixation for permanent pacing. Med. Biol. Eng., 10: 63, 1972.

Bluestone, R. , Davies, G. , Harris, A. , et al.: Long-term endocardial pacing for heart-block. Lancet, 2: 307, 1965.

Conklin, E.F. , Gregory, J. , Grace, W.J. , et al.: Use of permanent transvenous pacemaker in 1968 consecutive patients. Am. Heart J., 82: 4, 1971.

Fiandra, O. , Espasanolin, W. , Barbier, F.F. , et al.: Self anchoring electrode for implantable pacemakers. Am. Heart J., 91: 468, 1976.

Furman, S. , Esches, D.J.W. , Solomon, N. : Transvenous cardiac pacing. N.Y. State J. Med., 67: 2223, 1967.

Parsonnet, V. , Gilbert, L. , Tucker, I.R. , et al.: Complications of the implanted pacemaker. J. Thoracic Cardiovasc. Surg., 45: 801, 1963.

Parsonnet, V. , Tucker, I.R. , Gilbert, L. , et al.: A review of introcardiac pacing with special reference to the use of the bipolar electrode. Prog. Cardiovas. Dis., 6: 472, 1964.

Parsonnet, V. , Bilitch, U. , Furman, U. , et al.: Early malfunction of transvenous pacemaker electrodes. A three-year study. Circulation, 60: 590, 1979.

10.

Bolduc, L.R. : Intravascular Lead Assembly. United States Patent Office No. 3844292, October 29, 1974 .

11.

Braunwald, N.S. , Morrow, A.G. , Debroske, J.M.F. , et al.: Accelerated fatigue testing of available pacemaker electrodes and elgiloy wire coils. Surgery , 58: 846, 1965.

12.

Castro-Farinas, E. , de la Rosa Caballero , J. , Diaz Pardo, E. , et al.: Cirugia y resultados del bloqueo auriculo-ventricular. Rev. Resp. Cardiol., 23: 139, 1970.

13.

Davies, J.G. , Siddons, U. : Experience with implanted pacemakers: Technical considerations. Thorax, 20: 128, 1965.

14.

Goldstein, S. , Moss, A.J. , Rivers, R.J. , et al.: Transthoracic and transvenous pacemakers. A comparative study. Br. Heart J., 32: 35, 1970.

15.

Robicsek, F. , Tarjan, P. , Harbold, N.B. , Jr., et al.: Self-anchoring endocardial pacemaker leads. In press.

A New Self-Anchoring Endocardial Electrode

Abstract

Get full access to this article

References