Transesophageal Pacing for Temporary Heart Rate Acceleration and Management of Hemodynamics
Use of the gastro-oesophageal route for the rapid establishment of ventricular pacing.
McEneaney DJ, Cochrane DJ, Adgey AA. Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, UK. Int J Cardiol 1994 Oct;46(3):275-8. A novel approach to emergency ventricular pacing has been developed using a gastro-esophageal electrode. The polythene electrode was passed into the stomach, after which the electrode tip was positioned in the gastric fundus. Ventricular pacing was performed using a cathode mounted on the electrode tip; the indifferent electrode (anode) was either a chest pad or a proximal ring electrode. Ventricular capture was easily achieved in three emergency cases of severe bradyarrhythmia.