Melola Discovery

← Melola Discovery

Open access Journal SINTA 1

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) · pp. 105–108

DOI
10.21776/ub.hsj.2026.007.04.19
ISSN
2721-9984, 2721-9976
Published
2026-10-13
Publisher
Universitas Brawijaya
Language
en
License
creativecommons.org/licenses/by/4.0

Abstract

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.

Keywords

Collaboration network of the authors

27 authors · 145 co-authorship links

Hover or tap a name to highlight its co-authors. Double-click to open the author's page.

  • Universitas Muhammadiyah Gorontalo
  • Universitas Nurul Jadid
  • Taipei Medical University
  • Affiliation unknown
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
Show as table
Co-authorOrganisationJoint articles
Citrawati Dyah Kencono WunguAffiliation unknown4
Gabriel TandecxiAffiliation unknown2
Annisa Salsabilla Dwi NugrahaniAffiliation unknown2
Syahrial SyahrialUniversitas Muhammadiyah Gorontalo1
Eryc PranataAffiliation unknown1
Nathanael Jonathan TjiptaAffiliation unknown1
Chaq El Chaq Zamzam MultazamAffiliation unknown1
Ahmad ZubaidiUniversitas Nurul Jadid1
Su RitohardoyoAffiliation unknown1
Gwenny Ichsan PrabowoAffiliation unknown1
Bayu Satria WiratamaTaipei Medical University1
Soetjipto SoetjiptoAffiliation unknown1
Langgeng Agung WaskitoAffiliation unknown1
Clarissa ElvarettaAffiliation unknown1
Dian Eka Roro PalupiAffiliation unknown1
Ema QurnianingsihAffiliation unknown1
Lina LukitasariAffiliation unknown1
Ira HumairahAffiliation unknown1
Siti KhaerunnisaAffiliation unknown1
Retno HandajaniAffiliation unknown1
Indri SafitriAffiliation unknown1
Fithriyah Cholifatul UmmahAffiliation unknown1
Indah Binti Mohd AminAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (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>