2021, Number 6
<< Back Next >>
Medisur 2021; 19 (6)
Permanent pacemaker implantation. Access to the apex of the right ventricle using fluoroscopy only at the last moment
Torres AC
Language: Spanish
References: 12
Page: 900-906
PDF size: 265.32 Kb.
ABSTRACT
In Cuba, the first pacemaker implant was carried out on July 6, 1964, while in Cienfuegos this activity began in 1979, by a group of professionals led by Dr. Francisco Riverón Mena, who stayed for more than ten years in charge of cardiac stimulation, at the Dr. Gustavo Aldereguía Lima Hospital. The present work aims to describe the method for permanent pacemaker implantation applied in said institution, introduced by Dr. Riverón, as an alternative to the conventional mode. This technique requires very little use of ionizing radiation; It is effective and safer, both for the patient and for the health personnel, since fluoroscopy is used only at the last moment of the procedure, which differentiates it from the conventional method. Although it is not currently practiced, during the stage that it was applied in the hospital, it provided security to patients and health personnel, so its use should be resumed.
REFERENCES
Ministerio de Salud Pública. Anuario estadístico 2019. La Habana: MINSAP; 2020.
Castellanos R, Segura LA, Sanchén A, Ferrer IM. Presencia de complicaciones sépticas en marcapasos endocárdicos definitivos. AMC[Internet]. 2012[citado 15/05/2017];16(5):[aprox. 12p]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552012000500006&lng=es
Cano Ó, Pombo M, Coma R. Spanish Pacemaker Registry. Twelfth Official Report of the Spanish Society of Cardiology Working Group on Cardiac Pacing (2014). Rev Esp Cardiol (Engl Ed). 2015;68(2):1138-53.
Hall EJ. Radiobiology for the Radiologist. 4ª ed. Philadelphia, PA: Lippincott. 1994.
Elmqvist R, Senning A. Implantable pacemaker for the heart. In: Smyth CN editor. Medical electronics. Proceedings of the 2nd International Conference on Medical Electronics. London: Iliffe & Sons; 1960.
Oter R, Montiel J, Roldán T, Bardají A, Molinero de Miguel E. Guías de práctica clínica de la Sociedad Española de Cardiología en marcapasos. Rev Esp Cardiol. 2000;53(7):947-66.
Castro J. Apuntes sobre la historia de los marcapasos en Cuba. Rev Cubana Cardiol Cir Cardiovasc[Internet]. 2011 [citado 23/01/2017];17(2):[aprox. 6p]. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/viewFile/51/50
Echazabal M, Pérez E, Cruz R. Cardioversor-desfibrilador automático implantable a paciente con muerte súbita recuperada. Finlay[Internet]. 2018[citado 1/08/2018];8(2):[aprox. 12p]. Disponible en: http://scielo.sld.cu/pdf/rf/v8n2/rf09208.pdf
Statkiewicz-Sherer MA, Viscanti PJ, Ritenour ER. Radiation Protection in Medical Radiography. 3rd ed. St. Louis, MO: Mosby. 1998.
Ministerio de la Presidencia. Real Decreto 783/2001, de 6 de julio, por el que se aprueba el Reglamento sobre protección sanitaria contra radiaciones ionizantes. BOE[Internet]. 2021[citado 1/08/2018];(178):[aprox. 100p]. Disponible en: https://www.boe.es/buscar/doc.php?id=BOE-A-2001-14555
Özsürmeli M, Büyükkurt S, Sucu M, Arslan E, Akçabay C, Misirlioglu S, et al. Prenatal diagnosis of persistent left superior vena cava: a retrospective study of associated congenital anomalies. Turk J Obstet Gynecol. 2019;16(1):23-8.
Barold SS, Stroobandt RX, Sinnaeve AF. Cardiac Pacemakers step by step: An illustrated guide. New York: Futura Publishing; 2003.