Key result
Temporary transvenous pacemaker insertion carries a ~14% complication rate, lowest with the right internal jugular approach.
Why the study?
The clinical course and complication rates associated with temporary transvenous pacemaker insertion in the coronary care unit over a 5-year period were reviewed to inform best insertion practices.
Does the route of temporary transvenous pacemaker insertion affect complication rates in patients in the coronary care unit?
Population
1,022 consecutive patients receiving temporary transvenous pacemakers in the coronary care unit from 1976 to 1981
Comparison
Pacemaker insertion via antecubital vein cutdown vs subclavian vs right internal jugular vs femoral venipuncture
Design
Retrospective cohort study
Follow-up
5 years
Authors
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Supports considering right internal jugular access to minimize temporary pacing complications; leaves open need for randomized confirmation of route effects.
Cohort (n=1,022)
Does the route of temporary transvenous pacemaker insertion affect complication rates in patients in the coronary care unit?
The right internal jugular approach for temporary transvenous pacemaker insertion is associated with the lowest complication rate among common venous routes.
Janey Hynes (1983) conducted a cohort in Patients requiring temporary transvenous pacemaker in the coronary care unit (n=1,022). Temporary transvenous pacemaker insertion vs. Different insertion routes (antecubital, subclavian, right internal jugular, femoral) was evaluated on Pacemaker-related complications. Temporary transvenous pacemaker insertion in the coronary care unit had an overall 13.7% complication rate, with the right internal jugular approach associated with the lowest complication rate.
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