Why the study?
Does a helical endocardial electrode reduce complications compared to an electrode with retractable nylon barbs in patients undergoing permanent pacemaker implantation?
Does a helical endocardial electrode reduce complications compared to an electrode with retractable nylon barbs in patients undergoing permanent pacemaker implantation?
A helical endocardial electrode is superior to an electrode with retractable nylon barbs for preventing complications during permanent pacemaker implantation via the subclavian vein.
May support helical electrodes to reduce pacemaker complications; leaves open need for randomized confirmation.
Catheter tip dislocation is the main complication of permanent pacemaker implantation using the subclavian vein. In this study of 50 patients we compared the incidence of complications using two endocardial electrodes specially designed to prevent tip dislocation. One catheter had a helical endocardial electrode and the other had retractable nylon barbs. The helical electrode was superior in every respect and we recommend its use for pacing through the subclavian vein.
No takes yet. Share an insight, caveat, or question.
Wright et al. (1979) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: