Blind temporary pacemaker lead insertion using femoral access when fluoroscopy is unavailable: A case report

Abstract

The temporary pacemaker (TPM) insertion must be done in symptomatic bradycardia to provide adequate heart rate and stable hemodynamic. Transvenous TPM is inserted under fluoroscopy guidance. However, in an extraordinary situation, such as the unavailability of the catheterization laboratory, transvenous TPM insertion can be performed using the blind approach. This case report focused on the procedural aspects of blind transvenous TPM insertion using femoral vein access when fluoroscopy is unavailable. By performing the blind transvenous TPM insertion, the patient should be stabilized as soon as possible. The confirmation of the lead placement using fluoroscopy was needed to ensure that the tip of the electrode was in the proper position.