An Improved Intraoperative Temporary Epicardial Pacing Lead Implantation Approach in Complete Video-assisted Cardiac Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANGXiao-shen ,  LIUJing , GUOHui-ming , ZENGQing-shi , LEIQian , ZHONGZhi-wen , LIXiao-hui

Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, P. R. China;

Corresponding author：

LIUJing, Email: jing5533@126.com

Keywords：

Complete video-assisted; Cardiac surgery; Epicardial; Temporary pacing lead; Improved approach to implantation

DOI：

10.7507/1007-4848.20150257

Video：

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Objective To explore the effectiveness and safety of the improved approach of intraoperative temporary epicardial pacing lead implantation in complete video-assisted cardiac surgery. Method We included 50 cardiac patients with video-assisted cardiac surgery indications in our hospital from September 2013 to November 2013. According to approach to placing intraoperative temporary epicardial pacing lead, the patients were divided into two groups including an improved group (30 patients with 17 males and 13 females at age of 45.6±15.7 years) and a traditional group (20 patients with 12 males and 8 females at age of 44.2±17.7 years). Time of temporary epicardial pacing lead implantation, potential perioperative complications, and clinical data of intraoperation and postoperation were compared between the two groups. Result All the patients survived during perioperative period. No intraoperative bleeding, no pericardial tamponade, no infection caused by pacing wires, as well as no relevant postoperative complications occurred. Implantation time in the improved group is shorter than that in the traditional group (P<0.001). No patient had been found situations like moderate pericardial effusion, as well as pacing leads shifting during the following-up period. Conclusion The improved approach has shorten the implantation time, which is simpler and more effective. No patient suffers from postoperative complications during short-term following-up. But the effect in long-term following-up period is still contentious.

Citation： ZHANGXiao-shen, LIUJing, GUOHui-ming, ZENGQing-shi, LEIQian, ZHONGZhi-wen, LIXiao-hui. An Improved Intraoperative Temporary Epicardial Pacing Lead Implantation Approach in Complete Video-assisted Cardiac Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(11): 1036-1038. doi: 10.7507/1007-4848.20150257 Copy

1.	王明岩,高长青,李伯君,等.永久性心脏起搏器所致心脏并发症的外科治疗.中国胸心血管外科临床杂志,2012,19(5):520-523.
2.	鲍家银,高兰,韩涛,等.心脏外科术后心外膜临时起搏器的应用.生物医学工程与临床,2004,8(1):23-25.
3.	Chauhan M,Prentice E,Zidan M,et al.Necessity of temporary epicardial pacing wires after surgery for congenital heart disease.Ann Thorac Surg,2014,97(6):2148-2153.
4.	Alwaqfi NR,Ibrahim KS,Khader YS,et al.Predictors of temporary epicardial pacing wires use after valve surgery.J Cardiothorac Surg,2014,9:33.
5.	Hurle A,Gomez-Plana J,Sanchez J,et al.Optimal location for temporary epicardial pacing leads following open heart surgery.Pacing Clin Electrophysiol,2002,25(7):1049-1052.
6.	Bethea BT,Salazar JD,Grega MA,et al.Determining the utility of temporary pacing wires after coronary artery bypass surgery.Ann Thorac Surg,2005,79(1):104-107.
7.	Johnson LG,Brown OF,Alligood MR.Complications of epicardial pacing wire removal.J Cardiovasc Nurs,1993,7(2):32-40.
8.	Batra AS,Balaji S.Post operative temporary epicardial pacing:When,how and why?Ann Pediatr Cardiol,2008,1(2):120-125.
9.	Shan L,Buratto E,Conaglen P,et al.Prophylactic epicardial left ventricular lead implantation for biventricular pacing during operations.Ann Thorac Surg,2014,97(2):603-608.
10.	Piggott K,Nehgme R,Decampli W,et al.Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires.Cardiol Young,2014,5(3):1-5.
11.	Anraku Y,Mikamo A,Nakamura T,et al.Video-assisted thoracoscopic implantation of left ventricular pacing lead;usefulness of carto system;report of a case.Kyobu Geka,2013,66(12):1087-1090.
12.	Ceresa F,Sansone F,Calvagna G,et al.Minimally invasive implantation of the myopore sutureless myocardial pacing lead.Innovations(Phila),2012,7(4):303-306.
13.	Raza SS,Li JM,John R,et al.Long-term mortality and pacing outcomes of patients with permanent pacemaker implantation after cardiac surgery.Pacing Clin Electrophysiol,2011,34(3):331-338.
14.	Shaikhrezai K,Khorsandi M,Patronis M,et al.Is it safe to cut pacing wires flush with the skin instead of removing them?Interact Cardiovasc Thorac Surg,2012,15(6):1047-1051.
15.	Mishra PK,Lengyel E,Lakshmanan S,et al.Temporary epicardial pacing wire removal:is it an innocuous procedure?Interact Cardiovasc Thorac Surg,2010,11(6):854-855.
16.	Spellberg RD,Dobkin JE,Soleymani S.Intracardiac migration of operatively placed epicardial pacing leads.Ann Thorac Surg,2012,93(5):1713-1715.
17.	Elmouchi DA,Rosema S,Vanoosterhout SM,et al.Cardiac perforation and lead dislodgement after implantation of a mr-conditional pacing lead:a single-center experience.Pacing Clin Electrophysiol,2014,37(1):4-10.

1. 王明岩,高长青,李伯君,等.永久性心脏起搏器所致心脏并发症的外科治疗.中国胸心血管外科临床杂志,2012,19(5):520-523.
2. 鲍家银,高兰,韩涛,等.心脏外科术后心外膜临时起搏器的应用.生物医学工程与临床,2004,8(1):23-25.
3. Chauhan M,Prentice E,Zidan M,et al.Necessity of temporary epicardial pacing wires after surgery for congenital heart disease.Ann Thorac Surg,2014,97(6):2148-2153.
4. Alwaqfi NR,Ibrahim KS,Khader YS,et al.Predictors of temporary epicardial pacing wires use after valve surgery.J Cardiothorac Surg,2014,9:33.
5. Hurle A,Gomez-Plana J,Sanchez J,et al.Optimal location for temporary epicardial pacing leads following open heart surgery.Pacing Clin Electrophysiol,2002,25(7):1049-1052.
6. Bethea BT,Salazar JD,Grega MA,et al.Determining the utility of temporary pacing wires after coronary artery bypass surgery.Ann Thorac Surg,2005,79(1):104-107.
7. Johnson LG,Brown OF,Alligood MR.Complications of epicardial pacing wire removal.J Cardiovasc Nurs,1993,7(2):32-40.
8. Batra AS,Balaji S.Post operative temporary epicardial pacing:When,how and why?Ann Pediatr Cardiol,2008,1(2):120-125.
9. Shan L,Buratto E,Conaglen P,et al.Prophylactic epicardial left ventricular lead implantation for biventricular pacing during operations.Ann Thorac Surg,2014,97(2):603-608.
10. Piggott K,Nehgme R,Decampli W,et al.Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires.Cardiol Young,2014,5(3):1-5.
11. Anraku Y,Mikamo A,Nakamura T,et al.Video-assisted thoracoscopic implantation of left ventricular pacing lead;usefulness of carto system;report of a case.Kyobu Geka,2013,66(12):1087-1090.
12. Ceresa F,Sansone F,Calvagna G,et al.Minimally invasive implantation of the myopore sutureless myocardial pacing lead.Innovations(Phila),2012,7(4):303-306.
13. Raza SS,Li JM,John R,et al.Long-term mortality and pacing outcomes of patients with permanent pacemaker implantation after cardiac surgery.Pacing Clin Electrophysiol,2011,34(3):331-338.
14. Shaikhrezai K,Khorsandi M,Patronis M,et al.Is it safe to cut pacing wires flush with the skin instead of removing them?Interact Cardiovasc Thorac Surg,2012,15(6):1047-1051.
15. Mishra PK,Lengyel E,Lakshmanan S,et al.Temporary epicardial pacing wire removal:is it an innocuous procedure?Interact Cardiovasc Thorac Surg,2010,11(6):854-855.
16. Spellberg RD,Dobkin JE,Soleymani S.Intracardiac migration of operatively placed epicardial pacing leads.Ann Thorac Surg,2012,93(5):1713-1715.
17. Elmouchi DA,Rosema S,Vanoosterhout SM,et al.Cardiac perforation and lead dislodgement after implantation of a mr-conditional pacing lead:a single-center experience.Pacing Clin Electrophysiol,2014,37(1):4-10.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

An Improved Intraoperative Temporary Epicardial Pacing Lead Implantation Approach in Complete Video-assisted Cardiac Surgery

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