Document Detail


Transcutaneous temporary cardiac pacing in carotid stenting: noninvasive prevention of angioplasty-induced bradycardia and hypotension.
MedLine Citation:
PMID:  18254669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
So-Hyang Im; Moon Hee Han; Sung Hyun Kim; Bae Ju Kwon
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
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:
Created Date:  2008-02-07     Completed Date:  2008-05-13     Revised Date:  2008-10-03    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  110-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Dongguk University Hospiutal, Gyeonggido, Korea.
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MeSH Terms
Descriptor/Qualifier:
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:
J Endovasc Ther. 2008 Jun;15(3):381   [PMID:  18540707 ]

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


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