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Temporary neonatal atrial pacing through the umbilical venous route: A novel technique


Blessed Teresa Advanced Pediatric Center, Dr. Balabhai Nanavati Hospital, Mumbai, India

Correspondence Address:
Hiren N Doshi
Blessed Teresa Advanced Pediatric Center, Dr. Balabhai Nanavati Hospital, S.V. Road, Vile Parle (West), Mumbai - 400 056
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.84661

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Year : 2011  |  Volume : 4  |  Issue : 2  |  Page : 164-165

 

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Atrial pacing in the neonate is rarely done due to constraints of equipment, technical knowhow, and risk of complications. We describe a novel method of atrial pacing in the new born using equipment readily available in any intensive care unit. Atrial pacing can be achieved using an adult bipolar pacing wire directly introduced through the umbilical venous route. We have used this method in 5 neonates, and achieved atrial capture in 4 patients. Temporary atrial pacing is a therapeutic option in a few neonatal arrhythmias, such as atrial flutter, a few types of re-entrant tachycardias, such as accessory pathway mediated tachycardia and junctional reciprocating tachycardia, and has a limited role in cardiopulmonary resuscitation where sinoatrial node dysfunction is suspected.






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Blessed Teresa Advanced Pediatric Center, Dr. Balabhai Nanavati Hospital, Mumbai, India

Correspondence Address:
Hiren N Doshi
Blessed Teresa Advanced Pediatric Center, Dr. Balabhai Nanavati Hospital, S.V. Road, Vile Parle (West), Mumbai - 400 056
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.84661

Rights and Permissions

Atrial pacing in the neonate is rarely done due to constraints of equipment, technical knowhow, and risk of complications. We describe a novel method of atrial pacing in the new born using equipment readily available in any intensive care unit. Atrial pacing can be achieved using an adult bipolar pacing wire directly introduced through the umbilical venous route. We have used this method in 5 neonates, and achieved atrial capture in 4 patients. Temporary atrial pacing is a therapeutic option in a few neonatal arrhythmias, such as atrial flutter, a few types of re-entrant tachycardias, such as accessory pathway mediated tachycardia and junctional reciprocating tachycardia, and has a limited role in cardiopulmonary resuscitation where sinoatrial node dysfunction is suspected.






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