Efficacy of two commercially available cardiac pacing catheters for transesophageal atrial pacing in dogs

Objective: Compare the efficacy of two cardiac pacing catheters for transesophageal atrial pacing (TAP). Animals; Ten healthy dogs. Methods: Transesophageal atrial pacing was attempted in left lateral recumbency under general anesthesia. In series, a curved electrophysiologic (EP) catheter and a straight transesophageal pacing (TP) catheter were passed transorally into the distal esophagus, caudal to the heart. Each catheter was slowly withdrawn until pacing was initiated. The catheter continued to be withdrawn in 5 mm increments until capture was no longer achieved at maximal pacing setting creating a total zone of capture (tZOC). Minimum pacing threshold (Th-min) and degree of extraneous muscle stimulation (EMS) were determined at each site. Results: The EP catheter achieved TAP in 10/10 dogs with a Th-min of 8.8 +/- 4.8 mA and tZOC of 4.0 +/- 1.7 cm. The TP catheter achieved TAP in 7/10 dogs with a Th-min of 22.5 +/- 5.6 mA and tZOC of 1.2 +/- 1.6 cm. No EMS was noted during TAP at Th-min using the EP catheter. Of the 7 dogs in which TAP was successful, 3/7 experienced considerable EMS at Th-min. There was no significant relationship between patient body weight and Th-min with either catheter (EP catheter P = 0.09; TP catheter P = 0.81). Conclusions: The electrophysiology catheter captured the atria of more dogs over a larger area without EMS as compared to the TP catheter. The electrophysiology catheter is recommended for transesophageal atrial pacing in dogs. (C) 2012 Elsevier B.V. All rights reserved.