A rapid method for insertion of the pacemaker catheter electrode

Solomon, Norman; Escher, Doris J.W.

doi:10.1016/0002-8703(63)90330-2

Cited by 33 publications

(12 citation statements)

References 4 publications

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“…The transfemoral route was exclusively used because of its perceived low incidence of complications 1 , 3 . The temporary lead was inserted through a 6.0 Fr femoral sheath in the right femoral vein, introduced using a modified Seldinger technique 7 . The lead was advanced under fluoroscopy and positioned in the right ventricular apex.…”

Section: Methodsmentioning

confidence: 99%

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Utility and Safety of Prolonged Temporary Transvenous Pacing Using an Active‐Fixation Lead:

Cock

Campen

Veld

et al. 2003

Pacing Clinical Electrophis

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Transvenous temporary pacing is associated with a substantial dislocation rate reported to range from 10 to 37%. The aim of the study was to assess the safety and utility of a recently introduced 3.5 Fr temporary pacing lead using active fixation in a consecutive series of 36 patients with prolonged (> or = 48 hours) transvenous temporary pacing (validation group). A group of 36 patients with prolonged transvenous pacing managed with a passive-fixation lead just prior to the introduction of the active-fixation lead served as a control group (reference group). Pacing related adverse events included dislocation, inappropriate pacing (i.e., two-fold or greater increase of initial pacing threshold), local infection, and thrombosis. There were no significant differences in patient characteristics or duration of pacing (5.84 +/- 2.4 days in the reference group vs 5.94 +/- 2.6 days in the validation group). Acute pacing threshold was significantly higher in the validation group as compared to the reference group (1.38 +/- 0.67 V vs. 0.7 +/- 0.21 V, P < 0.01). The dislocation rate was significantly lower in the validation group as compared to the reference group (5.5 vs 33.3%, P < 0.001). There were 11 (31%) pacing related adverse events in the validation group versus 21 (58%) in the reference group (P < 0.01). The vast majority of patients in the validation group (75%) had ambulatory temporary pacing. Thus, transvenous temporary pacing using active fixation is safe and is associated with a low dislocation rate and a reduction in pacing related adverse events.

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Section: Methodsmentioning

confidence: 99%

“…The temporary pacing lead was inserted through a 4.0 Fr femoral sheath in the right femoral vein, introduced using a modified Seldinger technique 7 . The pacing wire (Medtronic 6416, 3.5 Fr) consists of an active‐fixation temporary pacing lead that can be advanced through a guiding catheter, using a “Y” adapter with hemostatic valve.…”

Section: Methodsmentioning

confidence: 99%

Utility and Safety of Prolonged Temporary Transvenous Pacing Using an Active‐Fixation Lead:

Cock

Campen

Veld

et al. 2003

Pacing Clinical Electrophis

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“…It has been used since the beginning of the era of endocavitary pacemaker lead placement [1, 2] and has often been the preferred access technique for many operators [3]. A literature review identified similar cases.…”

Section: Discussionmentioning

confidence: 99%

Successful Interventional Management for Pulmonary Arterial Injury Secondary to Pacemaker Implantation

Tokue

Morita

et al. 2016

Case Reports in Cardiology

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Subclavian vein puncture is a relatively fast and safe technique to access the right heart for placement of pacemaker leads. Hemothorax related to injury of the pulmonary artery (PA) is a rare complication of subclavian vein access but can be life-threatening. We report a case of hemothorax occurring after subclavian vein puncture for pacemaker implantation. No cases of transcatheter arterial embolization for PA injury secondary to pacemaker implantation have been reported. Understanding of this rare complication after pacemaker implantation along with its specific clinical presentation may lead to early diagnosis and intervention.

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“…Likewise, for emergency pacing an antecubital vein is frequently used, and percutaneous insertion into the femoral vein has been recommended for short periods (Soloman and Escher, 1963). Both these insertions suffer from the disadvantage of the need to immobilize the appropriate limb to prevent dislodgement of the electrode.…”

Section: Discussionmentioning

confidence: 99%