Active fixation lead the right septal pacemaker implantation in patients with nursing.docVIP

 PAGE \* MERGEFORMAT 9 Active fixation lead the right septal pacemaker implantation in patients with nursing [Keywords:] the right septal active fixation pacemaker electrode care Right ventricular septal pacing implantation is the application of active fixation cardiac electrode special pacing lead. Guangxi active fixation lead pacemaker implantation less, our department began in August 2007 No. 1 case of active re-implantation Right septal pacemaker fixed electrode technique, to December 2009 a total of 48 patients the right to install the active fixation electrode septal pacemaker implantation. 1 Clinical data 1.1 General Information The group of 48 patients, including 29 males, 19 females, aged 62-82 years, mean age 67 years, bradycardia duration of six months -4 years. Diagnosis of sick sinus syndrome (SSS) 25 3 degree atrioventricular block in 23 cases. 1.2 Methods used in patients with implanted wire electrodes left subclavian vein puncture method, the right ventricular outflow tract septal pacing using active fixation lead, the first end of wire bent into a first inverted U-type small, successful introduction of the electrode wire right ventricular outflow tract , remove the wire, plastic wire again in the wire and the remote to do a U-plane into a 70-90 degree bend, bending wire pacing lead in two-dimensional end point to guide nod outflow tract septum, the left anterior oblique 45 degree projection electrode tip position was observed with ventricular septal vertical position, to determine the electrode in the septum, after the spin out of the electrode positioning screw, X line electrode tip marker to separate chambers of the heart, see ST elevation in ECG injury current to determine the electrode is fixed, remove the wire in the X line, with the wire electrode can be seen swinging the electrode tip, but fixed, the connection can be seen pacing , , avF lead up the main wave, , avL lead down the main wave, satisfied after the test