Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/4001
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorCOSTA, Roberto-
dc.contributor.authorSCANAVACCA, Mauricio-
dc.contributor.authorSILVA, Katia Regina da-
dc.contributor.authorMARTINELLI FILHO, Martino-
dc.contributor.authorCARRILLO, Roger-
dc.date.accessioned2014-01-28T22:19:33Z-
dc.date.available2014-01-28T22:19:33Z-
dc.date.issued2013-
dc.identifier.citationHEART RHYTHM, v.10, n.11, p.1646-1652, 2013-
dc.identifier.issn1547-5271-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/4001-
dc.description.abstractBACKGROUND Limited venous access in certain patients increases the procedural risk and complexity of conventional transvenous pacemaker implantation. OBJECTIVE The purpose of this study was to determine a minimally invasive epicardial approach using pericardial reflections for dual-chamber pacemaker implantation in patients with limited venous access. METHODS Between June 2006 and November 2011, 15 patients underwent epicardial pacemaker implantation. Procedures were performed through a minimally invasive subxiphoid approach and pericardial window with subsequent fluoroscopy-assisted lead placement. Mean patient age was 46.4 +/- 15.3 years (9 male [(60.0%], 6 female [40.0%]). The new surgical approach was used in patients determined to have limited venous access due to multiple abandoned leads in 5 (33.3%), venous occlusion in 3 (20.0%), intravascular retention of lead fragments from prior extraction in 3 (20.0%), tricuspid valve vegetation currently under treatment in 2 (13.3%), and unrepaired intracardiac defects in 2 (13.3%). RESULTS All procedures were successful with no perioperative complications or early deaths. Mean operating time for isolated pacemaker implantation was 231.7 +/- 33.5 minutes. Lead placement on the superior aspect of right atrium, through the transverse sinus, was possible in 12 patients. In the remaining 3 patients, the atrial lead was implanted on the left atrium through the oblique sinus, the postcaval recess, or the left pulmonary vein recess. None of the patients displayed pacing or sensing dysfunction, and all parameters remained stable throughout the follow-up period of 36.8 +/- 25.1 months. CONCLUSION Epicardial pacemaker implantation through pericardial reflections is an effective alternative therapy for those patients requiring physiologic pacing in whom venous access is limited.-
dc.language.isoeng-
dc.publisherELSEVIER SCIENCE INC-
dc.relation.ispartofHeart Rhythm-
dc.rightsrestrictedAccess-
dc.subjectArtificial pacemaker-
dc.subjectSurgical procedures-
dc.subjectImplanted electrodes-
dc.subjectPericardial reflections-
dc.subjectSubxiphoid-
dc.subjectEpicardial lead-
dc.subjectCentral venous occlusion-
dc.subjectEndocarditis-
dc.subject.otherventricular-tachycardia-
dc.subject.otherablation-
dc.subject.otherleads-
dc.subject.otherplacement-
dc.subject.otherheart-
dc.subject.otherarrhythmias-
dc.titleNovel approach to epicardial pacemaker implantation in patients with Limited venous access-
dc.typearticle-
dc.rights.holderCopyright ELSEVIER SCIENCE INC-
dc.identifier.doi10.1016/j.hrthm.2013.08.002-
dc.identifier.pmid23920077-
dc.subject.wosCardiac & Cardiovascular Systems-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-
hcfmusp.author.externalCARRILLO, Roger:Univ Miami, Miller Sch Med, Dept Cardiovasc Surg, Miami, FL 33136 USA-
hcfmusp.description.beginpage1646-
hcfmusp.description.endpage1652-
hcfmusp.description.issue11-
hcfmusp.description.volume10-
hcfmusp.origemWOS-
hcfmusp.origem.id2-s2.0-84887020667-
hcfmusp.origem.idWOS:000326119400013-
hcfmusp.publisher.cityNEW YORK-
hcfmusp.publisher.countryUSA-
hcfmusp.relation.referenceBaddour LM, 2010, CIRCULATION, V121, P458, DOI 10.1161/CIRCULATIONAHA.109.192665-
hcfmusp.relation.referenceBYRD CL, 1990, PACE, V13, P1856, DOI 10.1111/j.1540-8159.1990.tb06903.x-
hcfmusp.relation.referenceCannon BC, 2006, PACE, V29, P181, DOI 10.1111/j.1540-8159.2006.00314.x-
hcfmusp.relation.referenceCosta R, 2009, PACE, V32, pS247, DOI 10.1111/j.1540-8159.2008.02295.x-
hcfmusp.relation.referenceCosta Roberto, 2006, Arq Bras Cardiol, V87, pe101, DOI 10.1590/S0066-782X2006001700024-
hcfmusp.relation.referenceDa Costa SS, 2002, PACING CLIN ELECTROP, V25, P1301-
hcfmusp.relation.referenced'Avila A, 2006, HEART RHYTHM, V3, P1110, DOI 10.1016/j.hrthm.2006.03.029-
hcfmusp.relation.referenceElayi CS, 2011, HEART RHYTHM, V8, P851, DOI 10.1016/j.hrthm.2011.01.024-
hcfmusp.relation.referenceEllenbogen K, 2011, CLIN CARDIAC PACING, P443-
hcfmusp.relation.referenceFishberger SB, 2009, PACE, V32, pe40, DOI 10.1111/j.1540-8159.2009.02539.x-
hcfmusp.relation.referenceFURMAN S, 1961, SURGERY, V49, P98-
hcfmusp.relation.referenceGoldstein DJ, 1999, ANN THORAC SURG, V67, P952, DOI 10.1016/S0003-4975(99)00150-2-
hcfmusp.relation.referenceHsia TY, 2009, ANN THORAC SURG, V87, P1234, DOI 10.1016/j.athoracsur.2009.01.015-
hcfmusp.relation.referenceJaroszewski DE, 2009, ANN THORAC SURG, V88, P112, DOI 10.1016/j.athoracsur.2009.04.006-
hcfmusp.relation.referenceKoruth JS, 2011, CIRC-ARRHYTHMIA ELEC, V4, P882, DOI 10.1161/CIRCEP.111.965731-
hcfmusp.relation.referenceLau EW, 2007, PACE, V30, P901, DOI 10.1111/j.1540-8159.2007.00779.x-
hcfmusp.relation.referenceMcCotter CJ, 2005, PACE, V28, P921, DOI 10.1111/j.1540-8159.2005.00203.x-
hcfmusp.relation.referenceMond HG, 2011, PACE, V34, P1013, DOI 10.1111/j.1540-8159.2011.03150.x-
hcfmusp.relation.referenceSosa E, 2005, J CARDIOVASC ELECTR, V16, P449, DOI 10.1046/j.1540-8167.2005.40710.x-
hcfmusp.relation.referenceSosa E, 2007, CIRCULATION, V115, pE542, DOI 10.1161/CIRCULATIONHA.107.701623-
hcfmusp.relation.referenceWilkoff BL, 2009, HEART RHYTHM, V6, P1085, DOI 10.1016/j.hrthm.2009.05.020-
hcfmusp.relation.referenceWorley SJ, 2011, HEART RHYTHM, V8, P526, DOI 10.1016/j.hrthm.2010.12.014-
hcfmusp.relation.referenceWorley SJ, 2010, HEART RHYTHM, V7, P634, DOI 10.1016/j.hrthm.2010.01.027-
hcfmusp.relation.referenceZenati Marco A, 2003, J Cardiovasc Electrophysiol, V14, P949, DOI 10.1046/j.1540-8167.2003.03255.x-
dc.description.indexMEDLINE-
hcfmusp.citation.scopus21-
hcfmusp.scopus.lastupdate2022-05-26-
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCP
Departamento de Cardio-Pneumologia - FM/MCP

Artigos e Materiais de Revistas Científicas - HC/InCor
Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - LIM/11
LIM/11 - Laboratório de Cirurgia Cardiovascular e Fisiopatologia da Circulação

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar


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