[Complications of temporary transvenous endocardial pacemaker therapy]

Z Gesamte Inn Med. 1989 Jan 1;44(1):12-5.
[Article in German]

Abstract

The prospective analysis of the results of the temporary transvenous-endocardial pacemaker therapy in 591 cases of treatment resulted in a total rate of complications of 37.1%. Hereby the main part of complications were disturbances of the function of electrodes (28.3%). The greatest numbers of complications showed infiltrable electrode catheters which were applied at bedside with a dislocation rate of 17.2% and a rate of not achieved stable stimulation positions of 13.7%. The smallest numbers of complications were to be observed in semiflexible stimulation catheters, which were positioned under X-ray control (dislocations in 4.1%, no achievement of a stable stimulation position in 3.3%). For the practice of the temporary pacemaker therapy from this analysis result particularly consequences in the choice of a suitable stimulation catheter and the methodical approach in positioning of this catheter.

Publication types

  • English Abstract

MeSH terms

  • Adams-Stokes Syndrome / therapy
  • Arrhythmias, Cardiac / therapy*
  • Bradycardia / therapy
  • Catheters, Indwelling / adverse effects
  • Electrocardiography
  • Emergencies*
  • Heart Failure / therapy
  • Humans
  • Myocardial Infarction / therapy
  • Pacemaker, Artificial / adverse effects*
  • Prospective Studies
  • Risk Factors
  • Tachycardia / therapy