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Related Experiment Videos

Five-year experience with temporary pacemaker therapy in the coronary care unit.

J K Hynes, D R Holmes, C E Harrison

    Mayo Clinic Proceedings
    |February 1, 1983
    PubMed
    Summary

    This study reviewed 1,022 patients receiving temporary transvenous pacemakers. The right internal jugular vein approach showed the lowest complication rate, making it the preferred method.

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    Area of Science:

    • Cardiology
    • Medical Devices

    Background:

    • Temporary transvenous pacemakers are crucial in coronary care units.
    • Evaluating insertion routes is vital for patient safety and procedural success.

    Purpose of the Study:

    • To analyze the clinical course and complication rates of temporary transvenous pacemaker insertions.
    • To identify the safest and most effective insertion routes.

    Main Methods:

    • Retrospective review of 1,022 patients undergoing temporary transvenous pacemaker insertion over 5 years.
    • Data collected on insertion routes (antecubital, subclavian, internal jugular, femoral) and associated complications.

    Main Results:

    • A total of 13.7% morbidity was observed, with pericardial rub being the most common complication (5.3%).

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  • The right internal jugular venipuncture route demonstrated the lowest complication rate.
  • Ante-cubital vein cutdown was the most frequent insertion method (59.3%).

    • Conclusions:

    • The right internal jugular vein and subclavian venipuncture routes are recommended for temporary pacemaker insertion.
    • Minimizing complications is paramount, guiding the preferred procedural approach.