Temporary transvenous pacing catheters in pediatric patients carry a risk of right ventricular wall perforation, which can be assessed using two-dimensional echocardiography.
Alerts to RV perforation risk during pediatric temporary pacing; case report leaves incidence and echo-guided prevention open.
Over a 13-year period, 18 pediatric patients received temporary transvenous pacing catheters for symptomatic bradycardia due to complete atrioventricular block or sinoatrial node dysfunction. Right ventricular wall perforation occurred in two patients. The utility of two-dimensional echocardiography in the detection and assessment of myocardial perforation by temporary pacing catheters is discussed.
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Harris et al. (1984) studied this question.
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