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KMID : 0368119940240010060
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Korean Circulation Journal
1994 Volume.24 No. 1 p.60 ~ p.65
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Emergency Transvenous Cardiac Pacing Without Fluroscopy in Patients with Impending Brady-Asystolic Cardiac Arrest
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황성오
김영식/이부수/임경수/윤정한/박금수/최경훈
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Abstract
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Not infrequently, we meet urgent situations that emergency cardiac pacing is inevitable. Paricularly, in patients with impending brady-asystole cardiac arrest, we cannot but introduce pacing cartheter without fluroscopic guidance in emergency
department
if transcutaneous pacing is not available. There is little report about emergency transvenous cardiac pacing without fluoroscopic guidance in patients with impending cardiac arrest in korea.
We report our experiences of temporary transvenous pacing by blind approach performed in patients with impending bradyasystolic cardiac arrest in emergency department. Among 10 patients who blind pacing were performed. 7 were successfully paced
and
3
were not. 5 of 7 patients with successful pacing died of underlying diseases. 2 patients were alive. A hematoma around the puncture site was developed in a patient receiving thrombolytic therapy.
We concluded that temporary transvenous paing without fluoroscopy should be tried in the emergency situations if fluoroscopy or transcutaneous pacemaker is not avialable.
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