# Bedside zero-fluoroscopy temporary permanent pacemaker implantation in the electrical storm treatment under the guidance of EnSite 3D system: a case report

## TL;DR

A 55-year-old man with an electrical storm was successfully treated using a temporary permanent pacemaker implanted at the bedside with the EnSite 3D system.

## Contribution

This case demonstrates the feasibility and safety of bedside zero-fluoroscopy pacemaker implantation during an electrical storm.

## Key findings

- The EnSite system enabled successful implantation without fluoroscopy.
- Atrial overdrive pacing significantly inhibited the electrical storm.
- The procedure was performed safely and effectively at the bedside in an emergency.

## Abstract

Electrical storm (ES) is a clinical emergency characterized by multiple malignant ventricular arrhythmias or ICD discharges within 24 h, requiring early rational management.

We report a 55-year-old man who underwent aortic valve replacement experienced recurrent ventricular tachycardia/ventricular fibrillation. A temporary permanent pacemaker with the EnSite system was implanted, and significant inhibition of the electrical storm, attributed to the atrial overdrive pacing, ensued.

In emergency regarding an electrical storm, the bedside temporary permanent pacemaker implantation with the EnSite system is concluded to be feasible and safe.