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Feasibility of peripheral venous access for temporary right ventricular pacing
Spyridon Deftereos1, Georgios Giannopoulos, Konstantinos Raisakis
1Department of Cardiology, Athens General Hospital G. Gennimatas, Athens, Greece.
Hellenic Journal of Cardiology : HJC = Hellenike Kardiologike Epitheorese
|September 22, 2012
Summary
Temporary pacing lead insertion via peripheral venous access is a safe and feasible bedside procedure. This method offers a viable alternative to central vein catheterization, with a high success rate and minimal complications.
Area of Science:
- Cardiology
- Medical Devices
- Vascular Access
Background:
- Temporary pacing is crucial for managing cardiac rhythm disturbances.
- Traditional methods often involve central venous catheterization, which carries potential risks.
- Peripheral venous access offers an alternative site for temporary pacing lead placement.
Purpose of the Study:
- To evaluate the safety and feasibility of bedside temporary pacing lead insertion through peripheral venous access.
- To assess the success rate and complication profile of this technique.
- To compare peripheral venous access with central vein catheterization for temporary pacing.
Main Methods:
- Consecutive patients requiring temporary pacing were included.
- Catheterization was performed via the median cubital or basilic vein of the left upper extremity at the bedside.
- No fluoroscopic guidance was used as the default strategy.
Main Results:
- The procedure was successful in 84% of 25 patients.
- 18 procedures were completed without fluoroscopic guidance.
- Temporary pacing leads remained in place for an average of 4.2 days with no serious complications.
- Lead displacement occurred in only one case despite patient mobilization.
Conclusions:
- Peripheral venous access for temporary pacing lead insertion is a safe and feasible option.
- This technique can be performed at the bedside with a high success rate.
- It serves as a potential alternative to central vein catheterization for temporary pacing.
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