The feasibility of bedside temporary transvenous cardiac pacing with balloon tipped floating catheter under non X-ray fluoroscopy
10.3760/cma.j.issn.1673-4904.2014.11.013
- VernacularTitle:非X线透视下应用球囊漂浮电极行床旁临时起搏的可行性探讨
- Author:
Yong ZHAO
- Publication Type:Journal Article
- Keywords:
Pacemaker,artificial;
Emergency treatment;
Non X-ray pluoroscopy;
Balloon tipped floating catheter
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(11):33-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of bedside temporary transvenous cardiac pacing with balloon tipped floating catheter under non X-ray fluoroscopy.Methods Twenty-four patients of bedside temporary transvenous cardiac pacing,11 cases underwent common electrode (common group),13cases underwent balloon tipped floating electrode (balloon tipped group).The operating time,pacing thresholds,pacing perception and complications were observed between two groups.Results All balloon tipped group placement success,8 cases in common group successfully.The operating time in balloon tipped group was significantly less than that in common group [(2.5 ± 1.5) min vs.(9.3 ±5.3) min],there was significant difference (P ＜ 0.05),but pacing thresholds and pacing perception between two groups had no significant difference (P ＞ 0.05).Common group occurred complications in 2 cases,respectively cardiac perforation and induced paroxysmal ventricular tachycardia,balloon tipped group occurred concurrent electrode wire dislocation in 2 cases.Conclusion Compared with the common electrode,balloon tipped floating electrode is simple,fast,high success rate and low risk of complications,suitable emergency physician bedside operating emergency temporary pacing.
