Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department

Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case r...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Lerner, Renata Portasio [verfasserIn] Haaland, Astrid [verfasserIn] Lin, Judy [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing

Übergeordnetes Werk:	Enthalten in: The American journal of emergency medicine - Philadelphia, Pa. : Saunders, 1983, 38, Seite 1044.e3-1044.e4
Übergeordnetes Werk:	volume:38 ; pages:1044.e3-1044.e4

DOI / URN:	10.1016/j.ajem.2019.12.027

Katalog-ID:	ELV004301161

Internformat


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520			\|a Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED.
650		4	\|a Transvenous pacemaker
650		4	\|a Transesophageal echocardiogram
650		4	\|a Emergency Department
650		4	\|a Emergency pacing
700	1		\|a Haaland, Astrid \|e verfasserin \|0 (orcid)0000-0003-2148-1731 \|4 aut
700	1		\|a Lin, Judy \|e verfasserin \|0 (orcid)0000-0003-4508-9320 \|4 aut
773	0	8	\|i Enthalten in \|t The American journal of emergency medicine \|d Philadelphia, Pa. : Saunders, 1983 \|g 38, Seite 1044.e3-1044.e4 \|h Online-Ressource \|w (DE-627)326646221 \|w (DE-600)2041648-9 \|w (DE-576)09442702X \|x 1532-8171 \|7 nnns
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912			\|a GBV_ILN_2068
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Indexfelder

author_variant	r p l rp rpl a h ah j l jl
matchkey_str	article:15328171:2018----::eprrtaseosaepaeetnetasspaelcoadormudn
hierarchy_sort_str	2018
bklnumber	44.80
publishDate	2018
allfields	10.1016/j.ajem.2019.12.027 doi (DE-627)ELV004301161 (ELSEVIER)S0735-6757(19)30834-4 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Lerner, Renata Portasio verfasserin aut Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED. Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing Haaland, Astrid verfasserin (orcid)0000-0003-2148-1731 aut Lin, Judy verfasserin (orcid)0000-0003-4508-9320 aut Enthalten in The American journal of emergency medicine Philadelphia, Pa. : Saunders, 1983 38, Seite 1044.e3-1044.e4 Online-Ressource (DE-627)326646221 (DE-600)2041648-9 (DE-576)09442702X 1532-8171 nnns volume:38 pages:1044.e3-1044.e4 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 38 1044.e3-1044.e4
spelling	10.1016/j.ajem.2019.12.027 doi (DE-627)ELV004301161 (ELSEVIER)S0735-6757(19)30834-4 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Lerner, Renata Portasio verfasserin aut Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED. Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing Haaland, Astrid verfasserin (orcid)0000-0003-2148-1731 aut Lin, Judy verfasserin (orcid)0000-0003-4508-9320 aut Enthalten in The American journal of emergency medicine Philadelphia, Pa. : Saunders, 1983 38, Seite 1044.e3-1044.e4 Online-Ressource (DE-627)326646221 (DE-600)2041648-9 (DE-576)09442702X 1532-8171 nnns volume:38 pages:1044.e3-1044.e4 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 38 1044.e3-1044.e4
allfields_unstemmed	10.1016/j.ajem.2019.12.027 doi (DE-627)ELV004301161 (ELSEVIER)S0735-6757(19)30834-4 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Lerner, Renata Portasio verfasserin aut Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED. Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing Haaland, Astrid verfasserin (orcid)0000-0003-2148-1731 aut Lin, Judy verfasserin (orcid)0000-0003-4508-9320 aut Enthalten in The American journal of emergency medicine Philadelphia, Pa. : Saunders, 1983 38, Seite 1044.e3-1044.e4 Online-Ressource (DE-627)326646221 (DE-600)2041648-9 (DE-576)09442702X 1532-8171 nnns volume:38 pages:1044.e3-1044.e4 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 38 1044.e3-1044.e4
allfieldsGer	10.1016/j.ajem.2019.12.027 doi (DE-627)ELV004301161 (ELSEVIER)S0735-6757(19)30834-4 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Lerner, Renata Portasio verfasserin aut Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED. Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing Haaland, Astrid verfasserin (orcid)0000-0003-2148-1731 aut Lin, Judy verfasserin (orcid)0000-0003-4508-9320 aut Enthalten in The American journal of emergency medicine Philadelphia, Pa. : Saunders, 1983 38, Seite 1044.e3-1044.e4 Online-Ressource (DE-627)326646221 (DE-600)2041648-9 (DE-576)09442702X 1532-8171 nnns volume:38 pages:1044.e3-1044.e4 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 38 1044.e3-1044.e4
allfieldsSound	10.1016/j.ajem.2019.12.027 doi (DE-627)ELV004301161 (ELSEVIER)S0735-6757(19)30834-4 DE-627 ger DE-627 rda eng 610 DE-600 44.80 bkl Lerner, Renata Portasio verfasserin aut Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department 2018 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED. Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing Haaland, Astrid verfasserin (orcid)0000-0003-2148-1731 aut Lin, Judy verfasserin (orcid)0000-0003-4508-9320 aut Enthalten in The American journal of emergency medicine Philadelphia, Pa. : Saunders, 1983 38, Seite 1044.e3-1044.e4 Online-Ressource (DE-627)326646221 (DE-600)2041648-9 (DE-576)09442702X 1532-8171 nnns volume:38 pages:1044.e3-1044.e4 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.80 Unfallmedizin Notfallmedizin AR 38 1044.e3-1044.e4
language	English
source	Enthalten in The American journal of emergency medicine 38, Seite 1044.e3-1044.e4 volume:38 pages:1044.e3-1044.e4
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format_phy_str_mv	Article
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topic_facet	Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing
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author	Lerner, Renata Portasio
spellingShingle	Lerner, Renata Portasio ddc 610 bkl 44.80 misc Transvenous pacemaker misc Transesophageal echocardiogram misc Emergency Department misc Emergency pacing Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department
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topic_title	610 DE-600 44.80 bkl Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department Transvenous pacemaker Transesophageal echocardiogram Emergency Department Emergency pacing
topic	ddc 610 bkl 44.80 misc Transvenous pacemaker misc Transesophageal echocardiogram misc Emergency Department misc Emergency pacing
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title	Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department
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title_full	Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department
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title_sort	temporary transvenous pacer placement under transesophageal echocardiogram guidance in the emergency department
title_auth	Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department
abstract	Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED.
abstractGer	Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED.
abstract_unstemmed	Placement of a transvenous pacer is an important procedure mainly used to treat hemodynamically unstable brady-arrhythmias. In the Emergency Department (ED), wire placement into the right ventricle is typically performed blindly, or in some cases, under transthoracic ultrasound guidance. This case report describes a patient with extensive cardiac history who presented after a witnessed arrest, and after return of spontaneous circulation, sustained an unstable bradycardia requiring emergent transvenous pacer placement while in the ED. A temporary pacer wire was placed transvenously without successful capture. Transesophageal echocardiography was then utilized to guide and adjust the pacer wire placement helping to successfully achieve capture. To our knowledge, this is the first report to describe transesophageal echocardiogram-assisted placement of a transvenous pacer wire while in the ED.
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title_short	Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department
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up_date	2024-07-06T22:31:59.083Z
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Temporary transvenous pacer placement under transesophageal echocardiogram guidance in the Emergency Department

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