Temporary coronary guidewire pacing during percutaneous coronary intervention

Temporary pacing is occasionally required during percutaneous coronary artery interventions. This can be accomplished by the insertion of a temporary transvenous pacemaker wire into the right ventricle, but there is some risk and inconvenience associated with this approach. Temporary pacing using th...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2004-04, Vol.61 (4), p.494-500
Main Authors: Mixon, Timothy A., Cross, Donald S., Lawrence, Mark E., Gantt, D. Scott, Dehmer, Gregory J.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
angioplasty
Angioplasty, Balloon, Coronary
bradycardia
Bradycardia - epidemiology
Bradycardia - etiology
Bradycardia - therapy
Cardiac Pacing, Artificial
Coronary Artery Disease - epidemiology
Coronary Artery Disease - therapy
Electric Impedance
Electrocardiography
Electrodes, Implanted
Equipment Design
Female
Heart Conduction System - pathology
Heart Conduction System - physiopathology
Heart Conduction System - surgery
Humans
Male
Middle Aged
Myocardial Infarction - epidemiology
Myocardial Infarction - therapy
pacemakers
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Predictive Value of Tests
Risk Factors
Treatment Outcome
Ventricular Function - physiology
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Summary:Temporary pacing is occasionally required during percutaneous coronary artery interventions. This can be accomplished by the insertion of a temporary transvenous pacemaker wire into the right ventricle, but there is some risk and inconvenience associated with this approach. Temporary pacing using the coronary artery guidewire was described in 1985 but is used infrequently. Using currently available equipment, we evaluated guidewire pacing in 26 patients. Guidewire pacing was successful in all patients, but not with all coronary guidewires at acceptable ventricular capture thresholds. No complications occurred from guidewire pacing. Bench testing of multiple different wires showed several with very high resistances likely unsuitable for clinical use. Temporary guidewire pacing is easily performed and should be considered as an alternative to the separate placement of a temporary transvenous pacemaker. Catheter Cardiovasc Interv 2004;61:494–500. © 2004 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.20009