epikardiale Schrittmachersonden

Verbliebene
Schrittmacherkabel bei epikardialen Schrittmacher. Zusätzlich Trikuspidalklappenersatz bei Ebstein-Anomalie.
Wikipedia • CC BY-SA 4.0
Epicardial
pacing wires • Congenital heart disease - pre- and post-operative chest x-rays - Ganzer Fall bei Radiopaedia
Ashraf A, Congenital heart disease - pre- and post-operative chest x-rays. Case study, Radiopaedia.org (Accessed on 04 Jan 2023) https://doi.org/10.53347/rID-89917 • CC by-nc-sa 3.0 (modified)
Preschooler
with an arrhythmia. CXR AP (left) shows short lucent areas in the lateral aspect of the third and fourth pacemaker leads. Repeat CXR AP 1 month later (right) shows a complete discontinuity of the third pacemaker lead and elongation of the lucent area in the lateral aspect of the fourth pacemaker lead.The diagnosis was cardiac pacemaker lead malfunction in the form of developing fractures in the pacemaker leads.
pediatricimaging.org • CC-by-nc-sa 4.0
Case report:
Pacemaker lead perforation of a papillary muscle inducing severe tricuspid regurgitation. Postoperative chest X-ray. Blue arrow: residual lead fragment.
cardiothoracicsurgery.biomedcentral.com • CC-by-4.0
Radiopaedia • CC-by-nc-sa 3.0 • de

Epicardial pacing wires or temporary pacing wires (TPW) allow rapid commencement of atrial and/or ventricular pacing in the event of a perioperative cardiac arrhythmia that has the potential to cause significant hemodynamic compromise.

They are usually inserted during open heart surgery, and especially in those with congenital heart disease .  Some surgeons will place epicardial pacing wires during CABG but this is not routine practice .

Removal is usually on the fourth postoperative day via gentle transcutaneous retraction. A coagulation screen should be checked prior to removal and the patient monitored post-procedure to allow early identification of rare, but serious complications such as a myocardial or pericardial injury and further arrhythmia.

Siehe auch:
Assoziationen und Differentialdiagnosen zu epikardiale Schrittmachersonden: