Resumo

TORRES ACOSTA, Cynthia. Permanent pacemaker implantation. Access to the apex of the right ventricle using fluoroscopy only at the last moment. Medisur [online]. 2021, vol.19, n.6, pp. 900-906.  Epub 30-Dez-2021. ISSN 1727-897X.

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.

Palavras-chave : Cardiac pacing, artificial; pacemaker, artificial; radiation, ionizing.

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