Perfecting temporary pacemakers in a developing country
Introduction: Transvenous pacemakers are used to temporarily pace heart rhythms in emergent situations or during surgical procedures. This study was conducted to analyze the current success rate of temporary pacemaker insertion in our institution and discover causes for failure to improve the technique.
Methodology: : A retrospective cohort study was conducted of 263 patients from 2006 to 2016 who underwent TPM insertion at Aga Khan University Hospital, Karachi.
Results: Of 263 patients, 54% were males with a mean age of 63 years. The femoral vein was the preferred site of access with the fluoroscopic approach. The success rate for the study was 97.7%, with one mortality caused by the pacemaker. No significant risk factor was found for the failure of TPM.
Discussion: The common site of access used globally for TPM is jugular with the fluoroscopic approach as it is described as the safest approach. However, the data showed no increase in complications for the femoral approach and no case was reported of venous thrombosis.
Conclusion: There was no significant effect of anatomical site or technique on the failure of TPM insertion. However, with better training and higher experience of the residents, the complications and rate of failures can be reduced.
Expert Review of Cardiovascular Therapy
Baloch, F. M.,
Kabani, A. S.,
Khan, A. H.
(2020). Perfecting temporary pacemakers in a developing country. Expert Review of Cardiovascular Therapy.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_med_cardiol/148