Abstract 18226: Temporary-Permanent Pacemakers - Why They Should be in Your Toolbox

Background: Temporary-permanent (T-P) pacemakers can serve as safe short-term pacing options in multiple clinical settings. We use this technique frequently and report our experience, outcomes, and clinical settings where they are useful. Methods: 42 consecutive patients, [32 M/10 F, mean age 68 yr. (20-98 yr.)] who received a T-P at our center in the last 12 months were studied. Mean procedure time was 45 ± 31 min. Devices were single-chamber, dual-chamber, one bi-ventricular (LV/RV), and an ICD - using a dual coil lead and programming appropriately. Implant duration ranged from 1-40 days (mean 16.2). There were no complications. Results: Bradycardia was the most common indication [18 pts] followed by need for pacing following lead extraction during treatment of active infection [14 pts]. “Pacemaker test-drive” in Sick Sinus Syndrome when either the doctor or patient aren’t convinced a pacemaker is needed was done in 5 of the 18 bradycardic pts. Pacing with active sepsis [1 pt] where permanent implantati...