What are the risks of catheter insertion during the perioperative management of permanent pacemakers (PPMs) and automatic implantable cardioverter-defibrillators (AICDs)?

Updated: Oct 29, 2018
  • Author: Albert H Tsai, MD; Chief Editor: Sheela Pai Cole, MD  more...
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Answer

Answer

Insertion of central venous catheters and pulmonary arterial catheters must be performed with caution in patients with CIEDs because of the potential for induction of arrhythmia, dislodgment of pacing electrodes, or both. Emergency medications and alternative pacing or defibrillating modalities must be readily available.


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