Emergency Medicine: Open Access
Open Access

Sebastian Lay

Publications

• Case Report
  Temporary Pacing with an Active-Fixation Permanent Bipolar Pacing Lead as an Emergency Treatment of Acute AV-Block
  Author(s): Tobias Willich, Sybille Brandner, Sebastian Lay, Matthias Hammwoehner, Markus Patscheke and Andreas Goette Tobias Willich, Sybille Brandner, Sebastian Lay, Matthias Hammwoehner, Markus Patscheke and Andreas Goette
  
  Management of patients with systemic infections and concurrent need for acute pacing due to new-onset of hemodynamic relevant bradycardia such as at high grade AV-block is very difficult. Implantation of a permanent pacemaker is contraindicated in the case of ongoing sepsis. As a bridging therapy temporary pacing is needed in patients with life-threatening bradycardias. The complication rate of a temporary pacing like dislodgement of the pacing wire increases significantly in a time-dependent fashion. Therefore, in cases requiring long-term antibiotic treatment such as endocarditis, a different approach might be considered. We have treated two patients with acute infective endocarditis and new onset of hemodynamically relevant bradycardia with a temporary permanent active-fixation bipolar pacing lead connected to a second-hand disinfected pacemaker in VVI mode. In addition, we provide.. View More»
  DOI: 10.4172/2165-7548.1000278

  Abstract PDF

Relevant Topics