Temporary Pacemaking by General Internists

Krueger, Steven K.; Rakes, Sherry; Wilkerson, Joyce; Stuber, Robert R.; McMillen, James J.

doi:10.1001/archinte.1983.00350080037010

Cited by 4 publications

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We cannot exclude the possibility that more experience with the technique will lead to faster insertion, or that fluoroscopy will not be necessary. However, we doubt that this catheter system will obviate the need for fluoroscopy in all patients, since, despite the claims of some [7], fluoroscopy is needed occasionally with other temporary pacing systems. For example, Rosenberg et a1 [8] were unable to position pacing catheters properly in 15 of 86 patients without fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic monitoring and pacing with one catheter: A pilot study

Gessler

Jaffe

1987

Cathet. Cardiovasc. Diagn.

View full text Add to dashboard Cite

Attempts to incorporate the monitoring of central pressures and pacing into one catheter have heretofore been unsuccessful. Recently, a new catheter for monitoring central hemodynamic pressures, which has a right ventricular port (Chandler pacing port), has been devised, which has been reported to allow for simultaneous acquisition of hemodynamic data and reliable pacemaker function as well. To assess the reliability of this catheter, we studied ten consecutive Swan-Ganz catheterizations utilizing this new catheter system. In all instances, hemodynamic monitoring was established without difficulty. In three instances, because of right heart enlargement, fluoroscopy was necessary to position the pacing probe at the right ventricular apex. In all ten instances, a threshold of less than 2.5 mV was obtained. Isolated PVCs and nonsustained ventricular tachycardia were common during insertion. After initial placement, the threshold for sensing and pacing was assessed every 6 hr. Malfunction occurred in three patients. In all, repositioning was accomplished without marked difficulty; in one it required fluoroscopy. In three instances, the Swan-Ganz pacing catheter system malfunctioned. These data are similar to data utilizing other modalities of temporary pacing and suggest that this catheter may be capable of providing hemodynamic monitoring and pacing from a single percutaneous procedure.

show abstract

Section: Discussionmentioning

confidence: 99%