Transvenous pacemaker placement: left lateral decubitus position and wireless digital radiography.

Journal Article (Journal Article;Review)

A patient presented with symptomatic third degree atrioventricular block requiring emergency transvenous pacemaker placement. During the procedure, wireless digital radiographs tracked the position of the pacemaker electrode, which repeatedly missed the target right ventricle. The patient was then rolled to left lateral decubitus position and the electrode was advanced into the right ventricle, achieving electrical capture, hemodynamic stability, and symptom resolution. We review the published literature on transvenous pacemaker placement and identify two innovations: left lateral decubitus position to facilitate catheter placement and wireless digital radiography for procedure guidance.

Full Text

Duke Authors

Cited Authors

  • Broder, JS; Silver, JM; Fischetti, CE

Published Date

  • March 2018

Published In

Volume / Issue

  • 36 / 3

Start / End Page

  • 467 - 469

PubMed ID

  • 29306645

Electronic International Standard Serial Number (EISSN)

  • 1532-8171

Digital Object Identifier (DOI)

  • 10.1016/j.ajem.2017.11.057


  • eng

Conference Location

  • United States