论文信息 - Temporary external implantable cardioverter defibrillator in the pacemaker-dependent ventricular tachycardia patient.

Temporary external implantable cardioverter defibrillator in the pacemaker-dependent ventricular tachycardia patient.

A patient with ischaemic cardiomyopathy underwent implantable cardioverter defibrillator (ICD) extraction for a severe pocket infection and sepsis. During 5 weeks of critical medical care after device extraction, heart block and recurrent monomorphic ventricular tachycardia (VT) were managed with an ‘externalized' active fixation pacemaker lead and a resterilized ICD generator. This case demonstrates how a permanent pacing lead and an external ICD generator can provide reliable temporary pacing and automatic anti-tachycardia pacing for recurrent VT until a new device can be implanted and more permanent VT treatment options are feasible.

S. Dixit | J. Cooper | G. Polin | R. Verdino | N. Lavi

[1] A. Skanes,et al. Utility and cost effectiveness of temporary pacing using active fixation leads and an externally placed reusable permanent pacemaker. , 2006, The American journal of cardiology.

[2] U. Kappert,et al. Percutaneous Lead Implantation Connected to an External Device in Stimulation‐Dependent Patients with Systemic Infection—A Prospective and Controlled Study , 2006, Pacing and clinical electrophysiology : PACE.

[3] Paul C. Zei,et al. Modified temporary cardiac pacing using transvenous active fixation leads and external re-sterilized pulse generators. , 2006, Journal of the American College of Cardiology.