Efficacy and safety of non-permanent transvenous pacemaker implantation in an intensive care unit

Bono, Javier Muñoz; Palomino, Miguel A.; Guarasa, Inés Macías; Sierra, B. Hernández; Balsera, Emilio Curiel; García, G. Quesada

doi:10.1016/j.medine.2011.04.001

Cited by 13 publications

(2 citation statements)

References 23 publications

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“…Complication rates vary depending on author, as each seems to use different definitions, and occurs in 10% to 60%. 30,45…”

Section: Temporary Transvenous Pacemakersmentioning

confidence: 99%

“…This can be a life-saving procedure, and temporary pacemakers have become more common procedures in emergency departments and ICUs. 30 Advances in temporary pacing have allowed the use of transcutaneous, esophageal, epicardial, as well as percutaneous transvenous (endocardial) electrodes. All require an external pulse generator that attaches to the electrodes, allowing for the adjustment of pacing output, pacing rate, pacing mode, and sensitivity to intrinsic activity.…”

Section: Introductionmentioning

confidence: 99%

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Insertion and Management of Temporary Pacemakers

Sullivan

Bartels

Hamilton

2015

Semin Cardiothorac Vasc Anesth

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Temporary pacemakers are used in a variety of critical care settings. These life-saving devices are reviewed in 2 major categories in this review: first, the insertion and management of epicardial pacemakers after and during cardiac surgery; and second, the insertion of transvenous temporary pacemakers for the emergent treatment of bradyarrhythmias. Temporary epicardial pacemakers are used routinely in patients recovering from cardiac surgery. Borrowing from advances in cardiac resynchronization therapy there are many theoretical and untested benefits to pacing the postoperative cardiac surgery patient. Temporary transvenous pacing is traditionally an emergency procedure to stabilize patients suffering from hemodynamically unstable bradyarrhythmia. We review the traditional and expanding use of transvenous pacemakers inside and outside the operating room.

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“…Complication rates vary depending on author, as each seems to use different definitions, and occurs in 10% to 60%. 30,45…”

Section: Temporary Transvenous Pacemakersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Insertion and Management of Temporary Pacemakers

Sullivan

Bartels

Hamilton

2015

Semin Cardiothorac Vasc Anesth

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Utility of nuclear cardiovascular imaging in the cardiac intensive care unit

Schenone

Hutt

Cremer

et al. 2023

Journal of Nuclear Cardiology

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A comprehensive scoping review on transvenous temporary pacing therapy

et al. 2019

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Transvenous temporary cardiac pacing therapy (TV-TP) is widely used to treat life-threatening arrhythmias. Yet aggregated evidence on TV-TP is limited. We conducted a systematic scoping review to evaluate indications, access routes and complications of TV-TP, as well as permanent pacemaker therapy (PPM) following TV-TP. Clinical studies concerning TV-TP were identified in Ovid MEDLINE. Case studies and studies lacking complication rates were excluded. To assess complication incidence over time, differences in mean complication rates between 10-year intervals since the introduction of TV-TP were evaluated. We identified 1398 studies, of which 32 were included, effectively including 4546 patients. Indications varied considerably; however TV-TP was most commonly performed in atrioventricular block (62.7%). The preferred site of access was the femoral vein (47.2%). The mean complication rate was 36.7%, of which 10.2% were considered serious. The incidence of complications decreased significantly between 10-year interval groups, but remained high in the most recent time period (22.9%) (analysis of variance; p < 0.001). PPM was required in 64.2% of cases following TV-TP. Atrioventricular block was the primary indication for TV-TP; however indications varied widely. The femoral vein was the most frequent approach. Complications are common in patients undergoing TV-TP. Although a decrease has been observed since its introduction, the clinical burden remains significant. The majority of patients who underwent TV-TP required PPM therapy.Electronic supplementary materialThe online version of this article (10.1007/s12471-019-01307-x) contains supplementary material, which is available to authorized users.

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Efficacy and safety of non-permanent transvenous pacemaker implantation in an intensive care unit

Cited by 13 publications

References 23 publications

Insertion and Management of Temporary Pacemakers

Insertion and Management of Temporary Pacemakers

Utility of nuclear cardiovascular imaging in the cardiac intensive care unit

A comprehensive scoping review on transvenous temporary pacing therapy

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