ISSN: 2165-7548
+44 1223 790975
Tobias Willich
Germany
Case Report
Temporary Pacing with an Active-Fixation Permanent Bipolar Pacing Lead as an
Emergency Treatment of Acute AV-Block
Author(s): Tobias Willich, Sybille Brandner, Sebastian Lay, Matthias Hammwoehner, Markus Patscheke and Andreas GoetteTobias Willich, Sybille Brandner, Sebastian Lay, Matthias Hammwoehner, Markus Patscheke and Andreas Goette
Management of patients with systemic infections and concurrent need for acute pacing due to new-onset of hemodynamic relevant bradycardia such as at high grade AV-block is very difficult. Implantation of a permanent pacemaker is contraindicated in the case of ongoing sepsis. As a bridging therapy temporary pacing is needed in patients with life-threatening bradycardias. The complication rate of a temporary pacing like dislodgement of the pacing wire increases significantly in a time-dependent fashion. Therefore, in cases requiring long-term antibiotic treatment such as endocarditis, a different approach might be considered. We have treated two patients with acute infective endocarditis and new onset of hemodynamically relevant bradycardia with a temporary permanent active-fixation bipolar pacing lead connected to a second-hand disinfected pacemaker in VVI mode. In addition, we provide.. View More»
DOI:
10.4172/2165-7548.1000278