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The Annals of Thoracic Surgery, Vol 21, 350-353, Copyright © 1976 by The Society of Thoracic Surgeons

ARTICLES

Left subcostal insertion of the sutureless myocardial electrode

GM Lawrie, GC Morris, JF Howell and ME DeBakey

This report describes the use of a left subcostal extrapleural supradiaphragmatic approach to the heart for myocardial sutureless electrode insertion. Electrode insertion by this approach has consistently produced low electrode thresholds, and the ability to insert electrodes into the left ventricle or septal area of the right ventricle is considered an advantage. This technique has now been used in 52 patients. Postoperative morbidity and complications have been minimal. The procedure appears to be well tolerated in the elderly, poor-risk patient and has been a useful technique for revision of failed pacemaker systems. We believe this procedure reduces the indications for permanent transvenous pacing.

This article has been cited by other articles:

				K. G. Warner, D. P. Halpin, C. I. Berul, and D. D. Payne Placement of a permanent epicardial pacemaker in children using a subcostal approach Ann. Thorac. Surg., July 1, 1999; 68(1): 173 - 175. [Abstract] [Full Text] [PDF]