Percutaneous retrieval of retained epicardial pacing wires is largely reported to be safe and effective. We have described a case report of delayed presentation of retained epicardial pacing wire, which migrated to th...Percutaneous retrieval of retained epicardial pacing wires is largely reported to be safe and effective. We have described a case report of delayed presentation of retained epicardial pacing wire, which migrated to the pulmonary trunk, in a patient 1 year post coronary artery bypass graft surgery. The retained wire was safely removed percutaneously. There are an increasing number of cases reporting migration of epicardial pacing wires to important structures, with a combination of unknown and documented serious outcomes. The aim of this case report is to emphasise the importance of highlighting the risk of retention of these wires to surgeons and their patients. Furthermore, the reasons and implications of this happening should be explored.展开更多
Background: The aim of this study is to assess the necessity of temporary cardiac pacing and identify the predictors of pacing after coronary artery bypass graft (CABG). Methods: This was a retrospective observational...Background: The aim of this study is to assess the necessity of temporary cardiac pacing and identify the predictors of pacing after coronary artery bypass graft (CABG). Methods: This was a retrospective observational study of 150 patients who had isolated CABG between November 2013 and December 2021. Patients were classified into two groups: group A, (n = 135) who did not need to be paced and group B, (n = 15) who needed temporary epicardial pacing. Only 10% (15/150) of patients in the study needed pacing. The primary outcome variable was assessment of the need for postoperative temporary cardiac pacing (TCP) (patients were paced during chest closure or at any time during hospital admission). The incidence of pacing during the postoperative period was observed. Univariate and multivariate predictors for postoperative pacing were determined and specicific predictors for cardiac pacing were found. Results: In both univariate and multivariate analysis, Old age > 65 years, diabetes mellitus, pacing to come off cardiopulmonary bypass (CPB), CPB time > 100 min, cardioversion to leave OR, antiarrhythmics to leave OR and new onset of atrial fibrillation (AF), were found to be significant predictors for the need to cardiac pacing. Conclusion: After coronary artery bypass surgery, a small percentage of patients require TCP. We emphasize unique predictors for postoperative pacing in this study.展开更多
文摘Percutaneous retrieval of retained epicardial pacing wires is largely reported to be safe and effective. We have described a case report of delayed presentation of retained epicardial pacing wire, which migrated to the pulmonary trunk, in a patient 1 year post coronary artery bypass graft surgery. The retained wire was safely removed percutaneously. There are an increasing number of cases reporting migration of epicardial pacing wires to important structures, with a combination of unknown and documented serious outcomes. The aim of this case report is to emphasise the importance of highlighting the risk of retention of these wires to surgeons and their patients. Furthermore, the reasons and implications of this happening should be explored.
文摘Background: The aim of this study is to assess the necessity of temporary cardiac pacing and identify the predictors of pacing after coronary artery bypass graft (CABG). Methods: This was a retrospective observational study of 150 patients who had isolated CABG between November 2013 and December 2021. Patients were classified into two groups: group A, (n = 135) who did not need to be paced and group B, (n = 15) who needed temporary epicardial pacing. Only 10% (15/150) of patients in the study needed pacing. The primary outcome variable was assessment of the need for postoperative temporary cardiac pacing (TCP) (patients were paced during chest closure or at any time during hospital admission). The incidence of pacing during the postoperative period was observed. Univariate and multivariate predictors for postoperative pacing were determined and specicific predictors for cardiac pacing were found. Results: In both univariate and multivariate analysis, Old age > 65 years, diabetes mellitus, pacing to come off cardiopulmonary bypass (CPB), CPB time > 100 min, cardioversion to leave OR, antiarrhythmics to leave OR and new onset of atrial fibrillation (AF), were found to be significant predictors for the need to cardiac pacing. Conclusion: After coronary artery bypass surgery, a small percentage of patients require TCP. We emphasize unique predictors for postoperative pacing in this study.
