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November 1, 1974British journal of surgery

Epicardial electrode implantation on both right and left ventricles using local anaesthesia

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Why the study?

Is epicardial pacer lead implantation using local anaesthesia safe and effective for long-term cardiac pacing in patients with symptomatic heart block?

Population

40 patients with symptomatic heart block requiring long-term cardiac pacing

Design

Case_series

Follow-up

6–19 months

Authors

BGB N GuharayASAnindya Kumar SahaDMD Mittra

Discussion

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Overview

May support epicardial pacing under local anesthesia in heart block; hypothesis-generating and should not yet change practice.

Structured PICO

Is epicardial pacer lead implantation using local anaesthesia safe and effective for long-term cardiac pacing in patients with symptomatic heart block?

P
Population
40 patients with symptomatic heart block requiring long-term cardiac pacing
I
Intervention
Epicardial/intramural pacer lead implantation on either right or left ventricle using local anaesthesia
O
Outcome
Operative mortality and electrode failuresafety

Epicardial pacer lead implantation using local anaesthesia, particularly on the left ventricle, provides effective long-term pacing for symptomatic heart block.

Cite This Study

Guharay et al. (1974) studied this question.

synapsesocial.com/papers/6a1665615c9fbf26ee4c51d9https://doi.org/10.1002/bjs.1800611105
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Left heart atrial and ventricular epicardial pacing through a left lateral thoracotomy in children: a safe approach with excellent functional and cosmetic results☆2005 · 54 citations
  2. 2Left Heart Pacing Lead Implantation Using Subxiphoid Videopericardioscopy2003 · 52 citations
  3. 3Transvenous pacing leads implanted in epicardial position: A recipe for future epicardial pacing electrode?2025 · 1 citations
  4. 4Surgical Results of Left Ventricular Lead Implantation for Cardiac Resynchronization Therapy2013
  5. 5Thoracoscopic Epicardial Lead Implantation as an Alternative to Failed Endovascular Insertion for Cardiac Pacing and Resynchronization Therapy2014 · 5 citations