Jan 1, 1990

The use of temporary transvenous pacing catheters during percutaneous transluminal coronary angioplasty

Texas Heart Institute Journal
E S Killeavy, J J Ferguson

Abstract

The use of temporary transvenous pacemakers during percutaneous transluminal coronary angioplasty (PTCA) over a 7(1/2)-month period at our institution was studied retrospectively. During that time, 379 patients underwent PTCA with temporary prophylactic pacemakers in place; 398 patients underwent PTCA without prophylactic pacemakers. We examined factors such as the necessity for emergent pacemaker placement, frequency of pacing during angioplasty, indications for pacing, effectiveness of the type of pacemaker inserted, and complications associated with pacemaker placement. Pacing was indicated in 40 of the 379 patients with prophylactic pacemakers; in only 1 of the 398 patients without prophylactic pacemakers was emergent pacing required for hemodynamic instability. In the patients with prophylactic pacemakers, pacing was initiated during the procedure for 32 patients with transient hemodynamically insignificant bradycardia, 3 patients with sustained bradycardia or heart block, and 5 patients with acute vessel occlusion and associated hypotension or bradycardia, or other episodes of hemodynamic instability. Thus, in only 8 of the 379 patients was pacing instituted for something other than hemodynamically insignificant bradycard...Continue Reading

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Mentioned in this Paper

Hemodynamic Instability
Heart Block
Bradycardia
Transluminal Route of Drug Administration
Muscular Stiffness
Obstruction
Heart
Drugs used in migraine prophylaxis
Dental Occlusion
Heart Ventricle

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