Bridge to Recovery or Permanent System Implantation: An Eight‐Year Single‐Center Experience in Transvenous Semipermanent Pacing

Kornberger, Angela; Schmid, Eckhard; Kalender, Guenay; Stock, Ulrich A.; Doernberger, Volker; Khalil, Mahmud; Lisy, Milan

doi:10.1111/pace.12175

Cited by 35 publications

(18 citation statements)

References 18 publications

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“…U pacjentów zależnych od stymulatora czasowe zastosowanie elektrody o aktywnej fiksacji połączonej z zewnętrznym stymulatorem opisywane jako działanie "pomostowe" [407] umożliwia ograniczenie niekorzystnych następstw związanych ze stymulacją [408][409][410].…”

Section: Ponowne Wszczepienieunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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Section: Ponowne Wszczepienieunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

144

212

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“…In our centre, such a solution was not taken into consideration, particularly in pacemaker-dependent patient. In this group, mortality risk related to the loss of effective pacing is so high that discharging such patients home seems unreasonable Although use of this approach has been reported previously, our increasing experience in this area allows systematic improvement of patient care and popularisation of such an approach in both newly created centres and those using alternative strategies of temporary pacing [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Long-term temporary pacing with an active fixation lead

Maciąg

Syska²,

Oręziak³

et al. 2015

Kardiol Pol

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A b s t r a c tBackground: Ensuring a haemodynamically effective cardiac rhythm is a challenge in patients waiting for pacemaker reimplantation after transcutaneous lead extraction due to an infection of the implanted system. Aim:The authors report a retrospective analysis of temporary pacing with an active fixation lead (AFTP) connected to an externalised pacemaker in patients after transvenous lead extraction (TLE) due to an infection.Methods: AFTP was used in 34 patients (12 women) aged from 38 to 88 years (mean 67.5 years). This represented 24.5% of the population of patients undergoing TLE due to infective indications. In 32 cases, the indication for temporary pacing was atrioventricular block, and in 2 patients sick sinus syndrome. The lead was implanted via the internal jugular vein puncture into the right ventricle in 33 cases and into the right atrium in 1 case. Leads were secured to the skin and attached to externalised pacemakers.Results: AFTP was used for 4 to 26 days (average 14.5 days). Re-implantation was performed in 29 patients (85.3% of the study group). There was no early infection recurrence. Three patients died during AFTP (8.8% of the study group), including two due to septic shock, and a cardiac arrest due to pulseless electrical activity in another patient. Conclusions:Temporary pacing with an active fixation lead is an effective and safe method to ensure a hemodynamically stable heart rhythm for a period ranging from a few to several days after the surgery in patients after transcutaneous lead extraction due to infective indications.

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“…Los marcapasos temporales son un factor de riesgo de posteriores infecciones de los dispositivos cardiacos 367 y se deben evitar cuando sea posible. En pacientes dependientes de marcapasos, se puede usar una estrategia «puente» consistente en el uso temporal de electrodos de fijación activa conectados a dispositivos externos 407 , lo que permite una movilización más precoz con un riesgo reducido de eventos adversos relacionados con el marcapasos [408][409][410] .…”

Section: Reimplanteunclassified