Temporary epicardial pacing after cardiac surgery: a practical review

  title={Temporary epicardial pacing after cardiac surgery: a practical review},
  author={MC Reade},
  • M. Reade
  • Published 1 April 2007
  • Medicine
  • Anaesthesia
The first part of this two‐part review discussed the indications for various types of epicardial pacing systems and an overview of the routine care of a pacemaker‐dependent patient. Dual chamber temporary pulse generators now feature many of the refinements developed initially for use in permanent pacemakers. Few of these are utilised in the immediate postoperative period, often solely due to lack of familiarity with all but basic functions. The second part of the review deals with the… 

Indications for Temporary and Permanent Pacemakers

Pacing modalities are available for different clinical scenarios, including permanent pacemakers used not only to treat bradycardias but also for resynchronization therapy in patients with cardiomyopathy and conduction system disease.

Temporary Epicardial Pacing after Open Heart Surgery in Bangladesh: Complications and Prevention

Clinical complications due to failure of ventricular sensing, failure of vents capture, bleeding from right ventricular laceration with tamponade are described and it is hoped there will be no problem of temporary Epicardial Pacing for patients.

Cardiac Pacing in Adults

This chapter provides an overview of standard indications for pacemakers and implantable defibrillators as well as clarifies basic principles of pacing including commonly used terms such as threshold and sensitivity and explores new developments in the sphere of cardiac pacing, namely leadless and His bundle pacing.

Predictors for hemodynamic improvement with temporary pacing after pediatric cardiac surgery.

Title of Dissertation: Post-operative epicardial pacing and hemodynamic support among Aortic Valve Replacement Patients

Post-operative management of AVR patients has considerable variability, and it would be useful to pre-operatively identify patients requiring extended postoperative pacing and hemodynamic support, no co-morbidities were associated.

Emergency transvenous cardiac pacing

The emergency placement and management of a TVCP catheter is discussed.

Incomplete Removal and Accidental Retention of Temporary Epicardial Pacing Wires in the Chest after Heart Surgery: A Case Report

A 65-year-old woman with a history of coronary artery bypass graft surgery who was referred to the hospital with a purulent discharge in the lower third of the sternal region while on antibiotics is described.

Safety of temporary pacemaker wires

A review will shed some light on the safety issues of temporary pacemaker wire usage in cardiac surgery patients intra- and postoperatively and in selected patients.

Case of the Month #181: Iatrogenic Colon Perforation during Epicardial Pacing Wire Placement

  • J. HabaShamir PatelR. Gray
  • Medicine
    Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes
  • 2013



Cardiac Rhythm Management Devices (Part II): Perioperative Management

Specific device malfunction, electromagnetic and mechanical interference, and management for patients with a device or undergoing system implantation or revision are discussed.

Temporary pacemakers in critically ill patients: assessment and management strategies.

The various indications and contraindications to temporary cardiac pacing therapy are discussed, the different modalities of temporary pacemakers are reviewed, and critical considerations in the management of patients being treated with a temporary pacemaker are outlined.

Temporary Epicardial Pacing after Open Heart Surgery: Complications and Prevention

Clinical complications due to failure of ventricular sensing, failure of Ventricular capture, bleeding from right ventricular laceration with tamponade, avulsion of a side branch from a saphenous vein coronary bypass graft, and perforation of the superior epigastric artery are described.

Optimal Location for Temporary Epicardial Pacing Leads Following Open Heart Surgery

The authors advocate the diaphragmatic wall of the LV as the best location for placing temporary leads for pacing purposes, and the anterior Wall of the RV is not recommended for pacing reasons.

Is routine use of temporary epicardial pacing wires necessary after either OPCAB or conventional CABG/CPB?

Need for pacing immediately prior to chest closure accurately and safely identifies coronary patients who will require postoperative pacing after OPCAB or CABG/ CPB, and Routine use of PWs is unnecessary.

Natural History and Predictors of Temporary Epicardial Pacemaker Wire Function in Patients after Open Heart Surgery

Although both atrial and ventricular temporary epicardial leads are reliable for short-term use, their function deteriorates on a daily basis.

Reliability of different temporary myocardial pacing leads.

Bipolar pacing leads (Osypka TME 64a/66a) proved to be more reliable than unipolar wires (Ethicon HD 12S, Osypkas TME 60/60a), particularly in atrial sensing, and the Medtronic 6400/6500 showed good reliability for the ventricle, so that they can be recommended for VVI-mode pacing.

Optimizing temporary perioperative cardiac pacing.

  • H. Spotnitz
  • Medicine
    The Journal of thoracic and cardiovascular surgery
  • 2005