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Atraumatic Technique for Atrial Synchronous and Atrioventricular Sequential Pacemakers

Victor Parsonnet, MD; Roland Werres, MD; Trevor Atherley, MD; Philip O. Littleford, MD

JAMA. 1980;243(1):62-64.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ALTHOUGH less than 3% of pacemaker implants performed today make use of the atrium, now that new and stable atrial appendage electrodes are available and there is also a growing awareness of their physiological and clinical advantages, it seems likely that interest in atrial pacing will grow. This statement is corroborated (Michael Bilitch, MD; Seymour Furman, MD; Victor Parsonnet, MD: Four-year results of a National Pacemaker Registry, unpublished data, July 1974 to June 1978). Some enthusiasts estimate that the atrium will be used for various forms of pacing, eg, fixed rate atrial pacing (AOO); inhibitory atrial pacing (AAI); triggered atrial pacing (AAT); atrial synchronous pacing (VAT); and bifocal sequential demand pacing (DVI),¹ in more than one half of the patients requiring pacemakers.^2,3

Unfortunately, the operation for implanting two electrodes can be difficult and time-consuming, because two separate veins must be identified and mobilized. We have usually used a . . . [Full Text PDF of this Article]

Author Affiliations
From Newark Beth Israel Medical Center, Newark, NJ (Drs Parsonnet, Werres, and Atherley); and the Department of Cardiology, Florida Hospital, Orlando (Dr Littleford).

Footnotes
This article is one of a series sponsored by the American Heart Association.

Reprint requests to Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112 (Dr Parsonnet).

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