The sutureless electrode: comparison with transvenous and sutured epicardial electrode placement for permanent pacing.
Consecutive series of 50 transvenous and 50 sutureless pacemaker insertions were reviewed and compared with a nonsimultaneous series of 50 patients who received sutured epicardial pacemakers. It is concluded that: (1) the sutureless electrode has a lower initial stimulation threshold than the transvenous type; (2) complications from sutureless electrodes are greater than with transvenous electrodes and similar to the incidence with sutured epicardial pacemakers; (3) initial pacing is more satisfactory with the sutureless electrode compared with the transvenous model; and (4) late electrode failure due to threshold rise is greater with the sutureless electrode than with the transvenous or sutured epicardial type.
D000200:Action Potentials; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004567:Electrodes, Implanted; D005260:Female; D006327:Heart Block / Q000628:therapy; D006352:Heart Ventricles; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects / Q000295:instrumentation*; D011183:Postoperative Complications / Q000209:etiology