EPDIR-0522 - Metric 35 | Intra or Post Procedure Events and Metric 35-0522 - Metric 35 | Intra or Post Procedure Events and Metric 35

0522 - Metric 35 | Intra or Post Procedure Events and Metric 35

Video Transcription

Video Summary

This video discusses a case scenario from May 2022 involving the implantation of an EP device. A 78-year-old female with complete heart block underwent a procedure to place a micro leadless pacer. During the implant, the patient became agitated and the device had to be recaptured. The temporary pacemaker wire was also dislodged but quickly repositioned. The patient experienced a drop in oxygen saturation and required respiratory assistance. While removing the introducer catheter, the patient went into cardiac arrest and CPR was initiated. A pericardial effusion was discovered and pericardiocentesis was performed, but resuscitation efforts were unsuccessful. Cardiac tamponade, cardiac perforation, and death during the procedure were all coded as yes. The patient is included in the numerator of metric 35 only once, despite four events occurring during the procedure.

Keywords

EP device implantation

micro leadless pacer

cardiac arrest

pericardial effusion

resuscitation efforts