Tolerance of rapid right ventricular pacing during thoracic endovascular aortic repair

Annals of Vascular Surgery
Pierre LhommetRobert Martinez

Abstract

The objective of this retrospective study was to evaluate the tolerance of rapid right ventricular pacing (RRVP) compared with that of the traditional methods of hypotension used during thoracic endovascular aortic repair (TEVAR). From January 2002 to December 2012, we retrospectively included all the patients treated with TEVAR by comparing the 2 groups: patients operated with RRVP (RRVP+) and those operated without RRVP (RRVP-). The characteristics of the population and the procedures were recorded. The rates of complications were compared up to 1 year. Sixty-one patients were operated. Treated pathologies were multiple with 19 aneurysms, 14 false aneurysms, 12 isthmic ruptures, 11 dissections, 3 coarctations, and 2 endoleaks. Twenty-four patients were RRVP+ and 37 patients were RRVP-. Mortality rates at 1 month in groups RRVP+ and RRVP- were of 0% and 2.7%, respectively (P = 1), and reintervention rates were 0% and 13.5%, respectively (P = 0.15). Three peroperative rhythm disorders (12.5%) were observed in the RRVP+ group including 2 ventricular fibrillations and 1 atrial fibrillation, both reduced without complications. One pacemaker was implanted for atrioventricular block in the RRVP- group. In the RRVP+ group, 83.3% of t...Continue Reading

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Citations

Oct 28, 2015·Interactive Cardiovascular and Thoracic Surgery·Drosos KotelisDittmar Böckler
Nov 4, 2017·Vascular and Endovascular Surgery·Leopoldo Fernández-AlonsoRoberto Centeno Vallepuga
Apr 13, 2019·Interactive Cardiovascular and Thoracic Surgery·Roman GottardiPeter Zilla
Jun 20, 2020·Annals of Vascular Surgery·Leopoldo Fernández-AlonsoRoberto Centeno Vallepuga
Jun 20, 2020·The Thoracic and Cardiovascular Surgeon·Roman GottardiMartin Czerny
Aug 10, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Roman GottardiMartin Czerny

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