INDICATIONS FOR AND COMPLICATIONS OF TEMPORARY TRANSVENOUS CARDIAC PACING
INDICATIONS FOR AND COMPLICATIONS OF TEMPORARY TRANSVENOUS CARDIAC PACING
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DOI：
10.1177/0310057x8501300109
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发表时间：
1985-01-01
影响因子：
1.5
通讯作者：
LEE, KY
中科院分区：
文献类型：
--
作者：
DONOVAN, KD;LEE, KY
对148例患者153次经静脉临时心脏起搏电极导线插入的适应症和并发症进行了研究。缓慢性心律失常或潜在缓慢性心律失常起搏（I组）分别占105次插入，宽复杂性心动过速（II组）17次，窄复杂性心动过速（III组）31次起搏电极插入。73%采用锁骨下锁骨下静脉入路。Ⅰ组中位置管时间为20 min，77%因症状严重而置管。64例（61%）患者出现完全性心脏传导阻滞或室性心搏停止。在II组中，电极导线被插入以治疗并通常辅助诊断宽复杂性心动过速。13例（76%）室性快速阵发性起搏逆转室性心动过速。在第III组中，快速心房快速阵发性起搏用于治疗药物治疗无效的室上性快速心律失常（阵发性室上性心动过速和房扑）。起搏成功恢复28例（90%）。153例电极导线插入中有27例（18%）发生并发症，11例（7%）为严重并发症。无并发症导致患者死亡。经静脉临时起搏是治疗缓慢性心律失常和某些快速性心律失常的安全有效方法。
The indications for and complications of 153 temporary transvenous cardiac pacing lead insertions in 148 patients were studied. Pacing for bradyarrhythmias or potential bradyarrhythmias (group I) accounted for 105 insertions, wide complex tachycardia (group II) 17, and narrow complex tachycardia (group III) 31 pacing electrode insertions respectively. The infraclavicular subclavian vein approach was used in 73%. The median insertion time was 20 min in group I 77% were undertaken because of severe symptoms. On 64 occasions (61%) the patient had complete heart block or ventricular asystole. In group II the lead was inserted to treat and often assist in the diagnosis of the wide complex tachycardia. Ventricular burst pacing reverted ventricular tachycardia in 13 (76%) In group III rapid atrial burst pacing was used to treat supraventricular tachyarrhythmias (paroxysmal supraventricular tachycardia and atrial flutter) resistant to medical therapy. Pacing was successful in reverting 28 (90%). A complication occurred in 27 (18%) of 153 lead insertions, 11 (7%) were serious. No complication resulted in the death of a patient. Temporary transvenous pacing is safe and effective for the treatment of bradyarrhythmias and certain tachyarrhythmias.