CMC Cardiac Medicine Certification

Answer- D - Transarterial is not a route for temporary pacing. The types of pacemakers include permanent pacemakers and temporary pacemakers. Temporary pace makers include transvenous pacing, transcutaneous pacing, epicardial pacing, and transthoracic pacing. In transvenous pacing, vascular access is gained by percutaneous puncture of the internal jugular, subclavian, antecubital or femoral vein. Access can also be gained by venous cut down in an antecubital vein.
A bipolar, transvenous pacing lead is usually placed and maintained. Transcutaneous pacing requires a nonsurgical approach where electrodes are attached to the anterior and posterior chest walls and connected to an external generator. This approach is typically used during emergency situations. In transthoracic pacing, a long needle is used to then connected to an external generator. This approach is reserved for emergency situations.