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Related Experiment Video

Updated: Apr 2, 2026

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
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TEMPORARY PACE MAKERS IMPLANTATION: DO WE NEED FLUOROSCOPY?

Bakhtawar Shah, Zahid Aslam Awan

    Journal of Ayub Medical College, Abbottabad : JAMC
    |September 29, 2015
    PubMed
    Summary

    Temporary pacemaker (TPM) implantation via the internal jugular vein without fluoroscopy is a safe and efficient emergency procedure. This method reduces procedure time and offers convenience for critical care settings.

    Area of Science:

    • Cardiology
    • Medical Devices
    • Interventional Procedures

    Background:

    • Temporary pacemaker (TPM) implantation is often performed emergently using fluoroscopy.
    • Fluoroscopy use can introduce procedural delays and constraints.
    • Alternative methods for TPM implantation are needed to improve efficiency.

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of temporary pacemaker (TPM) implantation without fluoroscopy.
    • To assess the safety and efficacy of using the internal jugular vein approach for TPM placement.

    Main Methods:

    • A case series of 122 TPM implantations was conducted from January to November 2011.
    • Internal jugular vein cannulation was performed using a modified Seldinger technique with 6 French sheaths.

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  • TPM leads were advanced to the right ventricle, with position confirmed by electrocardiogram monitoring.

    • Main Results:

    • All 122 TPM leads were successfully implanted via the internal jugular vein.
    • The average implantation time was under 10 minutes.
    • The overall success rate was 99.18%, with only one lead failure.

    Conclusions:

    • Temporary pacemaker implantation from the internal jugular vein without fluoroscopy is a safe and effective alternative.
    • This technique is less time-consuming and more convenient than traditional fluoroscopic methods.
    • The internal jugular vein approach offers a reliable option for emergent TPM placement.