Korean Circ J.  1994 Feb;24(1):60-65. 10.4070/kcj.1994.24.1.60.

Emergency Transvenous Cardiac Pacing without Fluoroscopy in Patients with Impending Brady-Asystolic Cardiac Arrest

• Hwang SO
• Kim YS
• Lee BS
• Lim KS
• Yoon JH
• Park KS
• Choe KH

• KMID: 1853863
• DOI: http://doi.org/10.4070/kcj.1994.24.1.60

Abstract

Not infrequently, we meet urgent situations that emergency cardiac pacing is inevitable. Paricularly, in patients with impending brady-asystole cardiac arrest, we cannot but introduce pacing cartheter without fluroscopic guidance in emergency department if transcutaneous pacing is not available. There is little report about emergency transvenous cardiac pacing without fluoroscopic guidance in patients with impending cardiac arrest in korea. We report our experiences of temporary transvenous pacing by blind approach performed in patients with impending bradyasystolic cardiac arrest in emergency department. Among 10 patients who blind pacing were performed. 7 were successfully paced and 3 were not. 5 of 7 patients with successful pacing died of underlying diseases. 2 patients wiere alive. A hematoma around the puncture site was developed in a patient receiving thrombolytic therapy. We concluded that temporary transvenous pacing withoup fluoroscopy should be tried in the emergency situations if fluoroscopy or transcutaneous pacemaker is not avialable.

Keyword

Emergency cardiac pacing; Blind approach; Brady-asystolic cardiac arrest

MeSH Terms

Emergencies*
Emergency Service, Hospital
Fluoroscopy*
Heart Arrest*
Hematoma
Humans
Korea
Punctures
Thrombolytic Therapy