Clinical Application of 530 Atrial Active Electrodes

Li Yan Ping; Hao Ying Lu; Liao De Rong; Cai Zi Qi; Yang Ling; Qian Bao Tang

Volume 38 Issue 06

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Article Navigation > Journal of Kunming Medical University > 2017 > 38(06): 130-135

Lai 碁, Guang Xue Feng , He Chen De , Chen Zhi Peng , Jing Shu Nan , Fang Jie . The Application of the Technique in the Protection of PCI[J]. Journal of Kunming Medical University, 2018, 39(08): 39-42.

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Li Yan Ping , Hao Ying Lu , Liao De Rong , Cai Zi Qi , Yang Ling , Qian Bao Tang . Clinical Application of 530 Atrial Active Electrodes[J]. Journal of Kunming Medical University, 2017, 38(06): 130-135.

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Clinical Application of 530 Atrial Active Electrodes

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基金：云南省自然科学基金资助项目 (2013FZ258);

Received Date: 2017-02-21

Abstract

Abstract

Objective To compare the clinical application of atrial active leads and passive leads, and to investigate the feasibility and safety of atrial active electrode lead. Me thods 1 027 patients with pacemaker implantation in Yuxi People's Hospital from January 2002 to March 2016 were selected. According to the patients' choice intention, 530 cases of atrial active electrodes were selected as active electrode group (n = 530) , and there were passive atrial electrodes in the passive electrode group (n = 497) . Then we record atrial electrode operative time, threshold fall time; followed up and recorded the threshold and impedance of the two groups immediately, 1week, 1 month, 3 months and 6 months after implantation. Bed time, average length of stay, comfort score and the rate of dislocation, atrial perforation, capsular infection, new atrial fibrillation were compared.Re s ults (1) Atrial active electrode group implanted atrial electrode time was shorter than control group. (2) The threshold fall time of atrial active electrode group was 4.38±2.62 minutes. (3) In pacing parameters, the threshold value of active electrode implantation was higher than that of passive electrode group while impedance was lower than that of passive electrode group on opration;After operation, the parameters of active electrode group were stable for a long time. (4) Pneumothorax and myocardial perforation had no significant difference between the two groups. (5) The incidence of electrode dislocation, urinary retention and intestinal paralysis in active electrode group was significantly lower than that in passive electrode group. (6) In the follow-up of active electrode group, the incidence of new atrial fibrillation and atrial tachycardia decreased. (7) After implantation of active electrode, patients' bed time was reduced, the average length of stay was shortened and patient's feeling was improved.Conclus ion The application of atrial active electrode is safe and feasible, and deserves promoton.
- Pacemaker,
- Lead implantation,
- Active fixation pacing leads

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References

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