title: [Epicardial atrial pacing using an active fixation bipolar endocardial lead in children].
abstract: Good performance was observed over 10 years after implantation of bipolar epicardial atrial pacing using an active fixation bipolar endocardial lead in 3 pediatric patients with congenital heart block. The bipolar endocardial lead which was supposed to be fixed transvenously was implanted on the atrial surface by first screwing the lead's helix into the myocardium. The catheter was then laid down on the atrial surface, and both electrodes were wrapped by the atrial tissue. The good performance of this pacing lead seemed to depend on stable positioning of the electrode. This lead is superior to the commercially available, and steroid eluting epicardial bipolar pacing lead, on the point of its small size in head and body, and could be applied to dual chamber pacing in smaller children.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Noma
authors.forename: N
authors.initials: N
authors.lastname: Atsumi
authors.forename: Y
authors.initials: Y
authors.lastname: Hiramatsu
authors.forename: H
authors.initials: H
authors.lastname: Horigome
authors.forename: M
authors.initials: M
authors.lastname: Takahashi
authors.forename: Y
authors.initials: Y
authors.lastname: Enomoto
authors.forename: S
authors.initials: S
authors.lastname: Matsushita
authors.forename: Y
authors.initials: Y
authors.lastname: Sakakibara
mesh_terms: D002304:Cardiac Pacing, Artificial / Q000379:methods*; D002648:Child; D004567:Electrodes, Implanted; D006327:Heart Block / Q000151:congenital / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D010138:Pacemaker, Artificial; D010496:Pericardium