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Related Experiment Videos

Hybrid long-term temporary pacing.

Christopher C Lang1, Neil R Grubb

  • 1Department of Cardiology, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh, United Kingdom. chrislang@katamail.com

The Journal of Invasive Cardiology
|July 9, 2005
PubMed
Summary
This summary is machine-generated.

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Temporary pacing often leads to complications. This case study details a successful, easily removable temporary pacing lead implantation in a patient with aortic endocarditis and tri-fascicular block, avoiding complications.

Area of Science:

  • Cardiology
  • Medical Devices
  • Infectious Diseases

Background:

  • Prolonged temporary pacing is frequently complicated by lead dislodgement, infection, and venous thrombosis.
  • Aortic endocarditis presents a challenging clinical scenario, often requiring cardiac intervention.
  • Acquired tri-fascicular block necessitates reliable cardiac pacing support.

Observation:

  • A patient with aortic endocarditis and acquired tri-fascicular block required temporary cardiac pacing.
  • A permanent active-fixation pacing lead was implanted via a subclavian venous approach using the Seldinger technique.
  • The lead was tunneled subcutaneously and connected to a single-chamber pulse generator.

Findings:

  • The procedure was well-tolerated, with no complications or signs of infection over a four-month follow-up period.

Related Experiment Videos

  • The patient's PR interval improved to 200 ms, indicating effective pacing and conduction.
  • The active-fixation lead was successfully and easily removed by retracting the helix and applying gentle traction.

    • Implications:

    • This approach offers a safe and effective alternative for temporary cardiac pacing in complex patients.
    • The use of active-fixation leads facilitates straightforward removal, minimizing procedural risks.
    • Minimizing complications associated with temporary pacing is crucial for patient outcomes.