title: [Technical expedient in the case of phrenic stimulation complicating an epicardial pacemaker].
abstract: In the event of abnormal stimulation of the phrenic nerve with diaphragm contractions, a possible complication in carriers of pacemakers with epicardial electrodes, interposition of an insulating lamina in the pericardial lead between electrodes and pericardium is proposed. This expedient has been adopted in a case followed up over an 8 year period and can protect the phrenic nerve from pacemaker stimuli and resolve the complication simply and lastingly.
mesh_terms: D000219:Adams-Stokes Syndrome / Q000628:therapy; D000368:Aged; D002299:Cardia; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008722:Methods; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D010791:Phrenic Nerve / Q000503:physiopathology*
vernacular_title: Accorgimento technico in caso di stimolazione frenica complicante pace-maker epicardico.