Document Detail

Management of dysrhythmias during coronary AngioJet: how to minimize the need for temporary pacemaker during rheolytic thrombectomy.
MedLine Citation:
PMID:  18830019     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Whatever the mechanism or mechanisms involved in the genesis of bradyarrhythmias during rheolytic thrombectomy (RT), the severity and duration of bradycardia are related to vessel location and the duration of the activation of the RT catheter. The latter implies that procedural variables may have a role in the prevention or attenuation of bradycardia and subsequent minimization of the need for temporary pacemaker insertion. METHODS: From January 2004 to December 2007, 396 patients with ST-segment elevation acute myocardial infarction received RT using the single-pass anterograde technique. All but 2 patients had RT without temporary pacemaker support. The 2 patients with temporary pacemakers received the electrical support before arriving in the cath lab. RESULTS: No major clinical adverse events related to bradyarrhythmias occurred. CONCLUSION: The single-pass anterograde RT technique minimizes the need for temporary pacemaker insertion and is safe and effective.
David Antoniucci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-02     Completed Date:  2009-03-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22A-4A     Citation Subset:  IM    
Careggi Hospital, Viale Morgagni, Florence, I-50134, Italy.
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MeSH Terms
Bradycardia / etiology,  prevention & control*
Coronary Thrombosis / therapy*
Heart Catheterization / adverse effects*
Pacemaker, Artificial*
Retrospective Studies
Risk Factors
Thrombectomy / adverse effects*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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