EUS guidance in gastric pacemaker implantation.

Abstract:

BACKGROUND:EUS provides excellent imaging of the gastric wall. The utility of EUS imaging in guiding the placement of a gastric pacemaker was investigated. METHODS:Fourteen patients underwent gastric pacemaker implantation for refractory gastroparesis at laparotomy. Placement of the lead into the muscle layer of the antrum of the stomach was imaged by intraoperative surface ultrasonography in the first 8 patients and by EUS in the subsequent 6 patients. RESULTS:Surface US examination of the lead placement revealed reverberation artifacts. The images were uniformly unsatisfactory and the position of the lead in the gastric wall could not be visualized in any patient. In contrast, the lead was clearly and easily identified by EUS as a bright linear echo in the gastric wall. This was observed uniformly in all of the patients evaluated by EUS. Compared with surface US, EUS provided better images of the gastric lead placement as well as less abdominal distension and thus easier closure of the incision. CONCLUSIONS:EUS is useful in confirming the accurate placement of pacemaker leads within the muscular coat of the stomach.

journal_name

Gastrointest Endosc

authors

Raju GS,Forster J,Sarosiek I,Rosenthal SJ,Lin Z,McCallum R

doi

10.1067/mge.2002.123275

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

728-30

issue

6

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(02)21703-4

journal_volume

55

pub_type

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