A novel approach using pulmonary artery catheter-directed rapid right ventricular pacing to facilitate precise deployment of endografts in the thoracic.

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Presentation transcript:

A novel approach using pulmonary artery catheter-directed rapid right ventricular pacing to facilitate precise deployment of endografts in the thoracic aorta Joseph J. Ricotta, MD, MS, Catalin Harbuzariu, MD, Juan N. Pulido, MD, Manju Kalra, MBBS, Gustavo Oderich, MD, Peter Gloviczki, MD, Thomas C. Bower, MD Journal of Vascular Surgery Volume 55, Issue 4, Pages 1196-1201 (April 2012) DOI: 10.1016/j.jvs.2011.10.003 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Pacing wire insertion via pulmonary artery catheter. Journal of Vascular Surgery 2012 55, 1196-1201DOI: (10.1016/j.jvs.2011.10.003) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Trial of right ventricular pacing after the insertion of the pulmonary artery catheter and placement of the pacing wire via the pacing port. First strip: electrocardiogram (ECG); second strip: arterial blood pressure; third strip: pulmonary artery pressure. Journal of Vascular Surgery 2012 55, 1196-1201DOI: (10.1016/j.jvs.2011.10.003) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Rapid right ventricular pacing during endograft deployment in the thoracic aorta. First strip: electrocardiogram (ECG); second strip: arterial blood pressure. Journal of Vascular Surgery 2012 55, 1196-1201DOI: (10.1016/j.jvs.2011.10.003) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Recovery of the heart rhythm and blood pressure after cessation of the rapid right ventricular pacing and endograft deployment. Journal of Vascular Surgery 2012 55, 1196-1201DOI: (10.1016/j.jvs.2011.10.003) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Distribution of the proximal landing zone for the deployed endografts in 24 patients. Journal of Vascular Surgery 2012 55, 1196-1201DOI: (10.1016/j.jvs.2011.10.003) Copyright © 2012 Society for Vascular Surgery Terms and Conditions