Significance of Basic Modalities in Diagnosis and Management of Inadvertent Placement of Temporary Pacemaker Leads

Issue V Volume VI
10.5083ejcm20424884.163 , Cite or Link Using DOI
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Syed Haseeb Raza, Madiha Fatima, Han Naung Tun

Temporary cardiac pacing via trans-venous approach is a treatment technique of choice in case of life threatening arrhythmias. This approach is used to re-establish the hemodynamics that are acutely compromised by a fast or slow heart rate. Inadvertent lead placement into abnormal locations is an uncommon but serious complication of temporary cardiac pacing in emergency departments. These can easily be detected and managed, even in emergencies, with the help of readily available modalities including 12-lead ECG and chest x-rays, as well as transthoracic echocardiography. Here, we report 2 cases of mal-placement of temporary pacing lead and their timely management to highlight the significance of simple yet necessary post procedure investigation techniques.