Temporary transvenous pacing had a 31.9% complication rate per procedure, with immediate complications being less common when performed by experienced physicians (1/81 vs 5/59, p<0.05).
Observational (n=111)
Yes
What are the complication rates and predisposing factors for temporary transvenous pacing procedures?
Temporary transvenous pacing has a high complication rate, which may be reduced by the presence of experienced cardiologists and minimizing the duration wires remain in situ.
OBJECTIVE: A prospective regional survey was carried out to describe the current practice of temporary transvenous pacing in five hospitals in the Wessex region and identify factors that predispose to complications. METHODS: Data were collected on patient characteristics, pacing indication and setting, operator grade, training, experience and supervision, venous access, procedure time, duration of pacing, complications, and eventual outcome. RESULTS: A total of 144 procedures were performed on 111 patients (age 75 (12) years). Median procedure time was 30 (1-150) min. Trainees performed 129 (91.5%) procedures. The senior physician present was a cardiologist/cardiology trainee for 65/144 (45.1%), and had experience of >20 procedures for 81/144 (57.9%). Venous access was by the subclavian in 52 (46.8%), internal jugular in 37 (33.3%) and femoral in 22 (19.8%), requiring multiple stabs or multiple sites in 41(33.1%). Pacing wires remained in place for a median of 2 (0.04-20) days. Overall procedure times were shorter for cardiologists/cardiology trainees (241-90 v 4510-150 min, p48 hours (17/86 v 2/55, p<0.01) and with longer procedure times (558-150 v 301-120 min, p<0.005). No factors predicted displacement, which occurred at a median time of 1 (0.04-8) day. Complications delayed permanent pacemaker insertion in 19/63 (22.9%) patients. CONCLUSIONS: Temporary pacemaker insertion is performed by physicians with variable experience and training. The presence of an experienced cardiologist/cardiology trainee and decreasing the time that pacing wires remain in situ may reduce complications.
Timothy R. Betts (Fri,) conducted a observational in Patients requiring temporary transvenous pacing (n=111). Temporary transvenous pacing was evaluated on Complications. Temporary transvenous pacing had a 31.9% complication rate per procedure, with immediate complications being less common when performed by experienced physicians (1/81 vs 5/59, p<0.05).
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