Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses

ABSTRACT Cardiac arrhythmias are common in horses and can lead to a decline in performance and sudden death. The use of cardiac pacemakers in horses has been poorly investigated, with a scarcity of description and development of techniques for the device implantation procedure. This study therefore...

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Main Authors: A.R.C. Gomes, A.D. Lorga, L. Strugava, V.L. Bosak, J.C.D. Moreno, P.T. Dornbusch
Format: Article
Language:English
Published: Universidade Federal de Minas Gerais 2025-01-01
Series:Arquivo Brasileiro de Medicina Veterinária e Zootecnia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352025000100104&lng=en&tlng=en
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author A.R.C. Gomes
A.D. Lorga
L. Strugava
V.L. Bosak
J.C.D. Moreno
P.T. Dornbusch
author_facet A.R.C. Gomes
A.D. Lorga
L. Strugava
V.L. Bosak
J.C.D. Moreno
P.T. Dornbusch
author_sort A.R.C. Gomes
collection DOAJ
description ABSTRACT Cardiac arrhythmias are common in horses and can lead to a decline in performance and sudden death. The use of cardiac pacemakers in horses has been poorly investigated, with a scarcity of description and development of techniques for the device implantation procedure. This study therefore aimed to develop a new technique for epicardial pacemaker implantation in horses using video surgery. Five equine cadavers were used as models for the application of the video surgery technique applied for the implantation of an epicardial pacemaker via transdiaphragmatic and intercostal access. This technique was effective at fixing the pacemaker electrode to the left cardiac apex of five cadavers used as a study model. The surgical procedure was minimally invasive, with an average surgical time of 44 min. No lesions were observed during a horse necropsy performed at the end of the surgery. Pacemaker implantation via thoracoscopy and intercostal access is innovative and represents a potential therapeutic novelty in the treatment of horses with severe cardiac arrhythmias.
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institution Kabale University
issn 1678-4162
language English
publishDate 2025-01-01
publisher Universidade Federal de Minas Gerais
record_format Article
series Arquivo Brasileiro de Medicina Veterinária e Zootecnia
spelling doaj-art-fe299270896d433085a4490632e678f82025-01-21T07:37:07ZengUniversidade Federal de Minas GeraisArquivo Brasileiro de Medicina Veterinária e Zootecnia1678-41622025-01-0177110.1590/1678-4162-13236Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horsesA.R.C. Gomeshttps://orcid.org/0000-0001-5244-3848A.D. Lorgahttps://orcid.org/0000-0002-8881-5479L. Strugavahttps://orcid.org/0000-0002-8695-4029V.L. Bosakhttps://orcid.org/0009-0002-5277-1280J.C.D. Morenohttps://orcid.org/0000-0003-4048-1198P.T. Dornbuschhttps://orcid.org/0000-0002-0280-6548ABSTRACT Cardiac arrhythmias are common in horses and can lead to a decline in performance and sudden death. The use of cardiac pacemakers in horses has been poorly investigated, with a scarcity of description and development of techniques for the device implantation procedure. This study therefore aimed to develop a new technique for epicardial pacemaker implantation in horses using video surgery. Five equine cadavers were used as models for the application of the video surgery technique applied for the implantation of an epicardial pacemaker via transdiaphragmatic and intercostal access. This technique was effective at fixing the pacemaker electrode to the left cardiac apex of five cadavers used as a study model. The surgical procedure was minimally invasive, with an average surgical time of 44 min. No lesions were observed during a horse necropsy performed at the end of the surgery. Pacemaker implantation via thoracoscopy and intercostal access is innovative and represents a potential therapeutic novelty in the treatment of horses with severe cardiac arrhythmias.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352025000100104&lng=en&tlng=enarrhythmiacardiacheartleft ventriclevideo surgery
spellingShingle A.R.C. Gomes
A.D. Lorga
L. Strugava
V.L. Bosak
J.C.D. Moreno
P.T. Dornbusch
Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
Arquivo Brasileiro de Medicina Veterinária e Zootecnia
arrhythmia
cardiac
heart
left ventricle
video surgery
title Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
title_full Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
title_fullStr Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
title_full_unstemmed Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
title_short Transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
title_sort transdiaphragmatic surgical access by thoracoscopy for epicardial pacemaker implantation in horses
topic arrhythmia
cardiac
heart
left ventricle
video surgery
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-09352025000100104&lng=en&tlng=en
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AT vlbosak transdiaphragmaticsurgicalaccessbythoracoscopyforepicardialpacemakerimplantationinhorses
AT jcdmoreno transdiaphragmaticsurgicalaccessbythoracoscopyforepicardialpacemakerimplantationinhorses
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