Ventricular fibrillation following removal of temporary epicardial pacemaking wires

İmren, Yıldırım; Zor, Hakan; Taşoğlu, İrfan

doi:10.1017/s1047951105001861

Cited by 12 publications

(10 citation statements)

References 4 publications

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“…There have been numerous complications described concerning temporary epicardial pacing wires including arrhythmias [4], infection [5] and bleeding [6] resulting in cardiac tamponade and hemodynamic decompensation. Unusual complications, including pacing wires ensnaring the heart and causing hemodynamic decompensation during attempted removal have been reported in children [7].…”

Section: Discussionmentioning

confidence: 99%

“…External PM via temporary epicardial leads are routinely applied to infants and children during heart surgery, which usually, after an uneventful post surgical course, can be removed without complications in the first two weeks postoperatively. There are few reports about arrhythmias during removal of temporary pacing wires in adult patients [3,4]; to the best of our knowledge, there is no similar report about the electrocardiogram (ECG) changes, i.e. ST elevation, while pulling out the temporary pacing wires after cardiac surgery in infants.…”

Section: Introductionmentioning

confidence: 99%

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Removal of temporary pacemaker after cardiac surgery in infants: A harmless procedure?

Schoof

Bertram

Thommes

et al. 2015

J Pediatr Intensive Care

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External pacemakers (PM) via temporary epicardial leads are routinely applied to infants and children during heart surgery, which usually, after an uneventful post surgical course, can be removed without complications. We report about two infants with complex congenital heart defects after cardiac surgery (arterial switch and Mustard operation for Transposition of the great arteries). Intraoperative these patients received temporary epicardial PM wires. Thirteen and 18 days post surgery, respectively, the PM wires were removed under electrocardiogram (ECG) monitoring. The patients showed acute ECG changes in terms of significant ST elevation during and after removing their pacing wires. Clinically, patients were stable and subsequent echocardiographic examination showed no evidence of myocardial dysfunction or pericardial effusion. In the course of time, patients showed no signs of arrhythmia or abnormal ECG changes. The decision to place temporary pacing wires during the cardiac surgery in patients with congenital heart defects should be considered carefully and their removal should occur under ECG monitoring as soon as the situation of the patient allows. It should be taken into consideration that a complication like this case may be related to delayed removal of temporary PM's leads.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Removal of temporary pacemaker after cardiac surgery in infants: A harmless procedure?

Schoof

Bertram

Thommes

et al. 2015

J Pediatr Intensive Care

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show abstract

“…[4][5][6][7][8][9] Misuse and asynchrony of the pacing system have also been reported and can lead to fatal arrhythmia. [10][11][12] These complications have factored into our decision as a programme to avoid routine placement of pacing wires.…”

Section: Discussionmentioning

confidence: 99%

Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires

et al. 2014

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“…Son yıllardaki yayınlarda GEPT kullanı-mı, nadir de olsa hemoraji ve kardiyak tamponad, atriyal ve ventriküler yırtılma gibi komplikasyonların yanında, pacemaker telinin çıkartılması sırasında gelişebilecek aritmi, telin çıkartılması sırasında veya sonrasında oluşabi-lecek kanama, tel bütünlüğünün kaybı nedeni ile yabancı cisim oluşması ve artık telin göçü gibi komplikasyonlarla ilişkilendirilmektedir (1)(2)(3)(4)(5)(6)(7)(8)(9)(10).…”

Section: Introductionunclassified

Açık kalp cerrahisinde geçici epikardiyal pacemaker tellerinin kullanılmasının klinik önemi

Coşkun¹,

Büyükateş²,

Tomrukçu³

2015

GenelTipDer

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Amaç: Açık kalp cerrahisi sırasında ve sonrasında geçici epikardiyal pacemaker desteği gerekebilmektedir. Bu çalışmanın amacı; erişkin açık kalp cerrahisinde pacemaker gereksinimi oluşturabilecek faktörlerin tespiti ve kullanım endikasyonlarının sınırlandı-rılmasıdır. Gereç ve yöntem: Çalışmaya Mayıs 2002-Kasım 2013 tarihleri arasında kliniğimizde açık kalp cerrahisi yapılan ve geçici epikardiyal pacemaker teli yerleştirilen 736 hasta dahil edilmiştir. Hastalarımızın yaş, cinsiyet ve geçirilen operasyon şekline göre sınıflandırıldı. Uygulanan cerrahi operasyonlar izole koroner revaskülarizasyon yapılan 665 hasta, aort kapak replasmanı yapılan 23 hasta, mitral kapak replasmanı 21 hasta, aort ve mitral kapak replasmanı beraber yapılan 7 hasta, çıkan aort replasmanı 6 hasta, atriyal septal defekt tamiri 9 hasta ve kardiyak kitle 5 hasta şeklinde idi. Bulgular: Epikardiyal pacemaker teli yerleştirilen hastaların 714 (%97)'ünde pacemaker desteğine ihtiyaç olmamıştır. İntraoperatif ve postoperatif dönemde yalnızca 22 (%3)'ünde atrioventriküler tam blok nedeni ile pacemaker kullanılması gerekti. Bu hastaların 6 tanesi sağ koroner arter lezyonu olan çoklu koroner arter sebebi ile by-pass cerrahisi uygulanan hastalardı. 16 tanesi valvüler cerrahi geçiren ve pompa çıkışı atriyoventriküler tam blok oluşan hastalar idi. Geçici epikardiyal pacemaker kullanılıp aort kapak replasmanı yapılan yalnızca 2 hastada persistan komplet dal bloğu sebebi ile kalıcı pacemaker uygulandı. Erken postop dönemde geçici epikardiyal pacemaker gereksinimi için atriyoventriküler blok, sinüs bradikardisi, junctional ritim, postperfüzyon atriyal fibrilasyon, kardiyopulmoner by-passdan ayrılma esnasında pacemaker ihtiyacı ve mitral müdahale gerektiren cerrahiler risk faktörleri olarak bulunmuştur. Epikardiyal pacemaker tellerinin kullanımı ve çekilmesi sırasında hiçbir komplikasyon oluşmamıştır. Sonuç: Kalp cerrahisinde epikardiyal pacemaker tellerinin rutin kullanılması gerekli değildir ancak açık kalp cerrahisi geçiren tüm hastalarda hayat kurtarıcı olması nedeni ile geçici epikardiyal pace tellerinin yerleştirilmesini öneriyoruz. Anahtar sözcükler: Açık kalp cerrahisi, kalp pili, atriyoventriküler blok, aritmilerClinical significance of temporary epicardial pacemaker wires using in open heart surgery Objectives: Temporary epicardial pacemaker support may be required during and/or after open heart surgery. The aim of the current study was to define the factors that may require pacemaker insertion in adult open heart surgery and to limit its' indications. Material and methods: We had included 736 patients that underwent open heart surgery and received temporary epicardial pacemaker in our clinic between May 2002 and November 2013. All patients were categorized according to age, gender and type of surgery. Types of surgery were as follows: Isolated coronary revascularization (665 patients), aortic valve replacement (23 patients), mitral valve replacement (21 patients), aortic and mitral valve replacement (7 patients), ascending aorta replacement (6 ...

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Ventricular fibrillation following removal of temporary epicardial pacemaking wires

Cited by 12 publications

References 4 publications

Removal of temporary pacemaker after cardiac surgery in infants: A harmless procedure?

Removal of temporary pacemaker after cardiac surgery in infants: A harmless procedure?

Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires

Açık kalp cerrahisinde geçici epikardiyal pacemaker tellerinin kullanılmasının klinik önemi

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