Author(s): de Cock CC, Van Campen LC, Visser CA
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Abstract Temporary transvenous pacing is associated with a high incidence of complications with a substantial dislocation rate reported to occur in more than one-third of patients. This article describes a novel 3.5 Fr temporary pacing lead using active fixation in a consecutive series of 42 patients with prolonged (> or = 48 hours) temporary pacing. The dislocation rate was 4.8\%, while in 7.1\% of patients inappropriate pacing (more than a twofold increase of initial pacing threshold) was observed. The total procedural related complication rate (dislocation, inappropriate pacing, local infection, and/or thrombosis) was 31\% during a mean duration of pacing of 5.96 +/- 2.6 days. Ambulatory pacing was performed in the vast majority (74\%) of patients. Temporary transvenous pacing using an active-fixation lead is safe and permits long-term ambulatory pacing with a low dislocation rate.
This article was published in Pacing Clin Electrophysiol
and referenced in Emergency Medicine: Open Access