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Ann Thorac Surg 1976;22:80-86
© 1976 The Society of Thoracic Surgeons

Articles

The Sutureless Electrode: Comparison with Transvenous and Sutured Epicardial Electrode Placement for Permanent Pacing

Donald J. Magilligan, Jr., M.D.*, Mehdi Hakimi, M.D., Julio C. Davila, M.D.

Division of Thoracic and Cardiac Surgery, Henry Ford Hospital, Detroit, MI

* Address reprint requests to Dr. Magilligan, Division of Thoracic and Cardiac Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202

Consecutive series of 50 transvenous and 50 sutureless pacemaker insertions were reviewed and compared with a nonsimultaneous series of 50 patients who received sutured epicardial pacemakers. It is concluded that: (1) the sutureless electrode has a lower initial stimulation threshold than the transvenous type; (2) complications from sutureless electrodes are greater than with transvenous electrodes and similar to the incidence with sutured epicardial pacemakers; (3) initial pacing is more satisfactory with the sutureless electrode compared with the transvenous model; and (4) late electrode failure due to threshold rise is greater with the sutureless electrode than with the transvenous or sutured epicardial type.




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