Transesophageal echocardiography (TEE)-guided transvenous pacing (TVP) in emergency department.

ABSTRACT:

Background

Placement of a temporary pacemaker is a vital skill in the emergency setting in patients that present with life-threatening bradycardia. Transvenous pacing is the definitive method of stabilizing the arrhythmia compared to transcutaneous pacing, as it provides more comfort and better control of heart rate, until the insertion of a permanent pacemaker.

Case report

In this case report, we describe the steps using TEE to guide the insertion of transvenous pacer at the emergency department. Traditionally, the process of floating a transvenous pacer wire is performed "blindly" using landmarks and a monitoring ECG finding for capture, or under transthoracic echocardiography (TTE) ultrasound guidance. The blind procedure is associated with higher rate of failure and comp

SUBMITTER: Adi O 

PROVIDER: S-EPMC10441836 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature