Pp. Karpawich et al., CHRONIC PERFORMANCE OF A TRANSVENOUS STEROID PACING LEAD USED AS AN EPI-INTRAMYOCARDIAL ELECTRODE, PACE, 21(7), 1998, pp. 1486-1488
Excessive surface fibrosis or fat limits effective electrode insertion
in patients requiring epicardial pacing. We present chronic performan
ce of a modified transvenous steroid lead used as an epi-intramyocardi
al electrode in a patient following repair of a univentricular heart a
fter failure of both standard and steroid-eluting epicardial leads. Lo
w implant threshold values remained stable during a 3-year postimplant
interval demonstrating an effective and innovative approach to epicar
dial pacing.