Hybrid long-term temporary pacing.
Prolonged temporary pacing is associated with frequent complications. We describe a patient with aortic endocarditis and acquired tri-fascicular block in whom back-up pacing was indicated. Using a Seldinger technique via a subclavian approach, a permanent active-fixation lead was positioned in the right ventricle. The lead was tunnelled subcutaneously for 6 cm, and the proximal end was connected to a standard single chamber pulse generator. The procedure was well tolerated and over a period of four months there were no complications or infection. The PR interval subsequently reduced in duration to 200 ms and as no episodes of AV block had occurred, the lead was easily removed with retraction of the helix and gentle traction.
Department of Cardiology, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh, United Kingdom. chrislang@katamail.com
Christopher C
CC
Lang
Neil R
NR
Grubb
D000368:Aged; D001018:Aortic Diseases / Q000628:therapy*; D002037:Bundle-Branch Block / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004696:Endocarditis / Q000628:therapy*; D006801:Humans; D008297:Male; D013997:Time Factors