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Ann Thorac Surg 1981;31:289
© 1981 The Society of Thoracic Surgeons

Articles

Tined Transvenous Endocardial Electrodes: Results of a Randomized Prospective Study

James V. Richardson, M.D., Creighton B. Wright, M.D.*, J.L. Ehrenhaft, M.D.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA

Accepted for publication February 14, 1980.

* Address reprint requests to Dr. Wright, Division of Thoracic and Cardiovascular Surgery, University Hospitals, Iowa City, IA 52242

The early (30-day) dislodgment rate of standard-use flange-tipped and of tined endocardial electrodes was compared in a randomized prospective clinical trial. Four of 16 (25%) of the flange-tipped leads and none of the 18 tined leads dislodged within 30 days of implantation (p = 0.01). We believe that the tined electrode represents a major improvement in electrode design and is clearly superior to the flange-tipped electrode in reducing the incidence of early dislodgment.




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