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Transjugular temporary pacing through a radial sheath in inferior STEMI with complete atrioventricular block and cardiogenic shock: A technical case report

Heart Science Journal · Vol. 7 No. 4 (2026) · hlm. 105–108

DOI
10.21776/ub.hsj.2026.007.04.19
ISSN
2721-9984, 2721-9976
Terbit
2026-10-13
Penerbit
Universitas Brawijaya
Bahasa
en
Lisensi
creativecommons.org/licenses/by/4.0

Abstrak

Background: Often complicated by unstable hemodynamics and cardiac conduction disorders, late-presenting inferior ST-segment elevation myocardial infarction (STEMI) with concomitant right ventricular involvement requires specialized management. These patients typically require temporary transvenous pacing. However, the feasibility of using a radial sheath as an introducer for transjugular temporary pacing, particularly in critically ill patients, has been insufficiently reported. Case Presentations: This case presents a 58-year-old man with type 2 diabetes mellitus (DM) admitted with inferior STEMI, right ventricular compromise, total atrioventricular block, and cardiogenic shock more than 48 hours after symptom onset. Prior to the definitive culprit-only percutaneous coronary intervention by implanting two drug-eluting stents in the proximal right coronary artery, we established temporary transvenous pacing via the right internal jugular vein using a 6F radial sheath. The procedure was accompanied by residual slow-flow phenomenon and a persistent atrioventricular block despite hemodynamic stabilization, prompting consideration of permanent pacemaker insertion. Conclusions: In hemodynamically unstable inferior STEMI with a complete atrioventricular block, radial sheath-assisted transjugular temporary pacing was a feasible bridging technique prior to and during coronary revascularization. This approach may facilitate transjugular temporary pacing when standard pacing introducers are unavailable.

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  • Universitas Airlangga
  • University of Surabaya
  • Atma Jaya Catholic University of Indonesia
  • Harvard University
  • University of Manchester
  • Universitas Gadjah Mada
  • Universiti Teknologi MARA
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Rekan penulisOrganisasiArtikel bersama
Citrawati Dyah Kencono WunguUniversitas Airlangga4
Gabriel TandecxiAtma Jaya Catholic University of Indonesia2
Annisa Salsabilla Dwi NugrahaniHarvard University2
Much. Muzakky Misbachul FirdausAfiliasi tidak diketahui1
Jordan BakhriansyahUniversity of Surabaya1
Zakiyyatul AflakhaUniversitas Airlangga1
Romadhana Trisnha YomaraUniversitas Airlangga1
Nathanael Jonathan TjiptaUniversitas Airlangga1
Chaq El Chaq Zamzam MultazamUniversity of Manchester1
Bayu Satria WiratamaUniversitas Gadjah Mada1
Soetjipto SoetjiptoUniversitas Airlangga1
Clarissa ElvarettaUniversitas Airlangga1
Dian Eka Roro PalupiUniversitas Airlangga1
Ema QurnianingsihUniversitas Airlangga1
Lina LukitasariUniversitas Airlangga1
Ira HumairahUniversitas Airlangga1
Siti KhaerunnisaUniversitas Airlangga1
Retno HandajaniUniversitas Airlangga1
Indri SafitriUniversitas Airlangga1
Fithriyah Cholifatul UmmahUniversitas Airlangga1
Langgeng Agung WaskitoUniversitas Airlangga1
Gwenny Ichsan PrabowoUniversitas Airlangga1
Indah Mohd AminUniversiti Teknologi MARA1

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Transjugular temporary pacing through a radial sheath in inferior STEMI with complete atrioventricular block and cardiogenic shock: A technical case report</dc:title>
	<dc:creator xml:lang="en">Susilo, Hendri</dc:creator>
	<dc:creator xml:lang="en">Salma, Zaskia Nafisa</dc:creator>
	<dc:creator xml:lang="en">Ayuba, Melita Amalia</dc:creator>
	<dc:creator xml:lang="en">Yusuf, Mochamad</dc:creator>
	<dc:subject xml:lang="en">Inferior STEMI</dc:subject>
	<dc:subject xml:lang="en">total atrioventricular block</dc:subject>
	<dc:subject xml:lang="en">cardiogenic shock</dc:subject>
	<dc:subject xml:lang="en">temporary transvenous pacing</dc:subject>
	<dc:subject xml:lang="en">transjugular radial sheath</dc:subject>
	<dc:description xml:lang="en">Background: Often complicated by unstable hemodynamics and cardiac conduction disorders, late-presenting inferior ST-segment elevation myocardial infarction (STEMI) with concomitant right ventricular involvement requires specialized management. These patients typically require temporary transvenous pacing. However, the feasibility of using a radial sheath as an introducer for transjugular temporary pacing, particularly in critically ill patients, has been insufficiently reported. Case Presentations: This case presents a 58-year-old man with type 2 diabetes mellitus (DM) admitted with inferior STEMI, right ventricular compromise, total atrioventricular block, and cardiogenic shock more than 48 hours after symptom onset. Prior to the definitive culprit-only percutaneous coronary intervention by implanting two drug-eluting stents in the proximal right coronary artery, we established temporary transvenous pacing via the right internal jugular vein using a 6F radial sheath. The procedure was accompanied by residual slow-flow phenomenon and a persistent atrioventricular block despite hemodynamic stabilization, prompting consideration of permanent pacemaker insertion. Conclusions: In hemodynamically unstable inferior STEMI with a complete atrioventricular block, radial sheath-assisted transjugular temporary pacing was a feasible bridging technique prior to and during coronary revascularization. This approach may facilitate transjugular temporary pacing when standard pacing introducers are unavailable.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2026-10-13</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/20785</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2026.007.04.19</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 7 No. 4 (2026): Navigating High-Risk Cardiovascular Subsets: Premature Disease, Plaque Complexity, and Precision Interventions; 105-108</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2026.007.04</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/20785/630</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Hendri Susilo, MD, PhD, Zaskia Nafisa Salma, Melita Amalia Ayuba, MD, Mochamad Yusuf, MD, PhD</dc:rights>
	<dc:rights xml:lang="en">http://creativecommons.org/licenses/by/4.0</dc:rights>
</oai_dc:dc>