| Transcutaneous temporary cardiac pacing in carotid stenting: noninvasive prevention of angioplasty-induced bradycardia and hypotension. | |
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MedLine Citation:
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PMID: 18254669 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the feasibility, safety, and effectiveness of prophylactically placed noninvasive transcutaneous temporary pacemakers (NTP) to prevent angioplasty-induced bradycardia and hypotension during carotid angioplasty and stenting (CAS). METHODS: The preventive use of NTPs was evaluated in 31 CAS procedures performed at 3 institutions in 30 patients considered to be at high risk for developing angioplasty-induced bradycardia. Twenty-four cases in 23 patients (20 men; mean age 72 years, range 56-85) requiring intraprocedural pacing due to angioplasty-induced bradycardia were included in this study. Pacemakers were set to capture a heart rate <60 beats/min based on the basal heart rate. RESULTS: Noninvasive pacing was technically effective in producing electrical ventricular responses and was hemodynamically effective in most patients. All patients were easily and comfortably stimulated at amplitudes <50 mA (usually 30). There were no complications related to either pacemaker placement or performance. CONCLUSION: The prophylactic use of a noninvasive transcutaneous pacemaker for expected bradycardia during CAS appears to be safe and effective in preventing intraprocedural bradycardia and hypotension, with a decrease in additional pharmacological support during the procedures. |
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Authors:
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So-Hyang Im; Moon Hee Han; Sung Hyun Kim; Bae Ju Kwon |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists Volume: 15 ISSN: 1526-6028 ISO Abbreviation: J. Endovasc. Ther. Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-07 Completed Date: 2008-05-13 Revised Date: 2008-10-03 |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 110-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Dongguk University Hospiutal, Gyeonggido, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon / adverse effects* Bradycardia / etiology, prevention & control* Cardiac Pacing, Artificial / methods* Carotid Stenosis / therapy* Female Humans Hypotension / etiology, prevention & control* Male Middle Aged Stents* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Endovasc Ther. 2008 Jun;15(3):381
[PMID:
18540707
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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