Journal List > Korean Circ J > v.24(1) > 1073033

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Hwang, Kim, Lee, Lim, Yoon, Park, and Choe: Emergency Transvenous Cardiac Pacing without Fluoroscopy in Patients with Impending Brady-Asystolic Cardiac Arrest
Original Article
Korean Circulation Journal

Korean Circulation Journal 1994; 24(1): 60-65.

Published online: 28 February 1994

DOI: https://doi.org/10.4070/kcj.1994.24.1.60

Emergency Transvenous Cardiac Pacing without Fluoroscopy in Patients with Impending Brady-Asystolic Cardiac Arrest

Sung Oh Hwang, M.D., Young Sik Kim, M.D., Boo Soo Lee, M.D., Kyoung Soo Lim, M.D., Jung Han Yoon, M.D., Keum Soo Park, M.D., Kyung Hoon Choe, M.D.

Copyright © 1994 The Korean Society of Circulation

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Not infrequently, we meet urgent situations that emergency cardiac pacing is inevitable. Paricularly, in patients with impending brady-asystole cardiac arrest, we cannot but introduce pacing cartheter without fluroscopic guidance in emergency department if transcutaneous pacing is not available. There is little report about emergency transvenous cardiac pacing without fluoroscopic guidance in patients with impending cardiac arrest in korea.
We report our experiences of temporary transvenous pacing by blind approach performed in patients with impending bradyasystolic cardiac arrest in emergency department. Among 10 patients who blind pacing were performed. 7 were successfully paced and 3 were not. 5 of 7 patients with successful pacing died of underlying diseases. 2 patients wiere alive. A hematoma around the puncture site was developed in a patient receiving thrombolytic therapy.
We concluded that temporary transvenous pacing withoup fluoroscopy should be tried in the emergency situations if fluoroscopy or transcutaneous pacemaker is not avialable.

Keywords: Emergency cardiac pacing, Blind approach, Brady-asystolic cardiac arrest

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