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Myocardial perforation due to temporary transvenous pacing catheters in pediatric patients
Catheterization and Cardiovascular Diagnosis
|January 1, 1984
Insights
Temporary transvenous pacing catheters were used in 18 pediatric patients for bradycardia. Two patients experienced right ventricular perforation, highlighting the need for careful monitoring and assessment.
Area of Science:
- Pediatric Cardiology
- Cardiac Electrophysiology
- Medical Device Safety
Background:
- Symptomatic bradycardia in children can result from atrioventricular block or sinoatrial node dysfunction.
- Temporary transvenous pacing is a crucial intervention for managing pediatric bradycardia.
- Potential complications associated with transvenous pacing require thorough investigation.
Abstract:
Over a 13-year period, 18 pediatric patients received temporary transvenous pacing catheters for symptomatic bradycardia due to complete atrioventricular block or sinoatrial node dysfunction. Right ventricular wall perforation occurred in two patients. The utility of two-dimensional echocardiography in the detection and assessment of myocardial perforation by temporary pacing catheters is discussed.