Daniel J Goldstein, MD, David Rabkin, MD, Henry M Spotnitz, MD

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Presentation transcript:

Unconventional approaches to cardiac pacing in patients with inaccessible cardiac chambers Daniel J Goldstein, MD, David Rabkin, MD, Henry M Spotnitz, MD The Annals of Thoracic Surgery Volume 67, Issue 4, Pages 952-958 (April 1999) DOI: 10.1016/S0003-4975(99)00150-2

Fig 1 Postero-anterior (A) and lateral (B) chest radiographs showing a transatrially placed right atrial lead (thick arrow). Note the irregular course of the lead first tracking upward and then inferiorly towards the abdominally implanted generator. A functioning epicardial right ventricular lead was left in place for DDD pacing (curved arrow). A malfunctioning atrial lead was cut (open arrow). The Annals of Thoracic Surgery 1999 67, 952-958DOI: (10.1016/S0003-4975(99)00150-2)

Fig 2 Explanted heart of patient who had two separate coronary sinus pacing lead implantations. Note the two pacing catheters entering the coronary sinus orifice. No clot or evidence of thrombosis was noted within the coronary sinus. The Annals of Thoracic Surgery 1999 67, 952-958DOI: (10.1016/S0003-4975(99)00150-2)