Outcomes of Standard Permanent Active Fixation Leads for Temporary Pacing

Prolonged temporary cardiac pacing using subcutaneous tunnelled active-fixation permanent pacing leads.

Temporary transvenous cardiac pacing is occasionally required for prolonged periods, particularly in patients with severe infection and bradyarrhythmias who may need several weeks of antibiotic treatment before a permanent pacemaker can be safely implanted. Prolonged temporary transvenous pacing is frequently associated with complications such as local or systemic infection, lead displacement, ...

Modified temporary cardiac pacing using transvenous active fixation leads and external re-sterilized pulse generators.

Coronary vein pacing with standard active fixation leads for cardiac resynchronization.

Case 1 A 65-year-old male with idiopathic dilated cardiomyopathy (ejection fraction ,30% on echocardiogram), heart failure NYHA class III, underwent a contra-lateral CRT-D implantation following full system explantation 1 week earlier due to infection. Prior LV lead implantation had been quite challenging (venography is depicted in Figure 1A). The use of a Medtronic Attain Starfix lead (Figure ...

Bradyarrhythmias, temporary and permanent pacing.

Bradycardia is common in critical care units. It may be transient, asymptomatic and of little consequence, or life-threatening. Bradycardia may result from abnormalities of the sinus node, atrioventricular node, or the His-Purkinje system. It may also be precipitated by drug effects or enhanced vagal tone. Proper diagnosis is pivotal to determining prognosis and management. Temporary and perman...

Long-term temporary pacing with an active fixation lead.

BACKGROUND Ensuring a haemodynamically effective cardiac rhythm is a challenge in patients waiting for pacemaker reimplantation after transcutaneous lead extraction due to an infection of the implanted system. AIM The authors report a retrospective analysis of temporary pacing with an active fixation lead (AFTP) connected to an externalised pacemaker in patients after transvenous lead extract...