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Effectiveness and safety of intrauterine pacing for fetal arrhythmia (comple atrioventricular block) - an experimental study

Research Project

Project/Area Number 04807069
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field 補綴理工系歯学
Research InstitutionJichi Medical School

Principal Investigator

SHIRAISHI Hirohiko  Jichi Medical School, Department of Pediatrics, Assistant Professor, 医学部, 講師 (40187521)

Co-Investigator(Kenkyū-buntansha) YANAGISAWA Masayoshi  Tokyo University Department of Pediatrics, Professor, 医学部(病), 教授 (90049031)
Project Period (FY) 1992 – 1994
Project Status Completed (Fiscal Year 1994)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1994: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1993: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1992: ¥900,000 (Direct Cost: ¥900,000)
KeywordsFetal lamb / Sheep / Pacemaker / Atrial Flutter / Complete AV block / Fetal hydrops / Fetus / 完全房〓ブロック / 人工ペースメーカー / 発作性上室性頻拍 / 不整脈
Research Abstract

In 1992, we have investigated intrauterine transvenous ventricular pacing in fetal lamb. The pacing lead was advanced through the internal jugular vein and the tricuspid valve. The fetal right ventricle was paced by a pacemaker at a rate of 200/min. The right ventricular output decreased from 107 ml/kg/min to 78 ml/kg/min while paced. Although the right ventricular output decreased when paced at 200/min, this method might be useful when there is a complete heart block and congestive heart failure.
In 1993, we have investigated intrauterine acute atrial pacing in fetal lamb. The pacing lead was sutured on the right atrium through the right thoracotomy. The right atrium was paced at 200,300,350, and 400/min. The right ventricular output decreased when paced at more than 200/min. Using this atrial tachy arrhythmia model, we can estimate the human fetal circulation with tachy arrhythmia.
In 1994, we have investigated intrauterine chronic atrial pacing in fetal lamb. In this preliminary study, the fetal hydrops was observed when chronically paced at 300/min.

Report

(4 results)
  • 1994 Annual Research Report   Final Research Report Summary
  • 1993 Annual Research Report
  • 1992 Annual Research Report
  • Research Products

    (3 results)

All Other

All Publications (3 results)

  • [Publications] 菊地豊: "Cardiac pacing in fetal lamps : intrnuterine tromsvenous cardiac pacing for complete heart block." PACE. 18. 417-423 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yutaka KIKUCHI: "Cardiac pacing in fetal lambs : intrauterine transvenous cardiac pacing for complete heart block." PACE. 18. 417-423 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yutaka Kikuchi,Hirohiko SHIRAISHI: "Cardiac pacing in fetal lambs:intraterine transverous cardiac pacing for fetal complete heart block" PACE. 18(3月号). (1995)

    • Related Report
      1994 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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