Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients

Jun Chen,1,* Wenhui Huang,2,* Songyuan Luo,2,* Dahao Yang,1 Zhengrong Xu,1 Jianfang Luo21Department of Angiocardiopathy, Affiliated Baoan Hospital of Southern Medical University, Shenzhen City, People's Republic of China; 2Department of Cardiology, Guangdong Cardiovascular Institute, Guangdo...

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Autores principales:	Chen J, Huang WH, Luo SY, Yang DH, Xu ZR, Luo JF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Stanford B aortic dissection endovascular repair rapid right ventricular pacing precise graft deployment Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/aa1720d1685e429a8f3369e4cfba0196
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spelling	oai:doaj.org-article:aa1720d1685e429a8f3369e4cfba01962021-12-02T00:33:34ZApplication of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients1178-1998https://doaj.org/article/aa1720d1685e429a8f3369e4cfba01962013-12-01T00:00:00Zhttps://www.dovepress.com/application-of-rapid-artificial-cardiac-pacing-in-thoracic-endovascula-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jun Chen,1,* Wenhui Huang,2,* Songyuan Luo,2,* Dahao Yang,1 Zhengrong Xu,1 Jianfang Luo21Department of Angiocardiopathy, Affiliated Baoan Hospital of Southern Medical University, Shenzhen City, People's Republic of China; 2Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, People's Republic of China*These authors contributed equally to this workObjective: To compare the safety, efficacy, and impact on stent graft positioning between rapid artificial cardiac pacing (RACP), induced hypotension and sodium nitroprusside (SNP) induced hypotension during thoracic endovascular aortic repair (TEVAR) for Stanford B aortic dissection.Methods: One hundred and sixty-eight patients, who were diagnosed with Stanford B aortic dissection and who underwent selective TEVAR in Guangdong General Hospital and the People's Hospital of Baoan District, Shenzhen, People's Republic of China, were enrolled in this study. Patients were randomly divided into a RACP group (n=77) and a SNP group (n=91). During localization and deployment of the stent graft, hypotension was induced by RACP or intravenous SNP, according to randomization. Hemodynamics, landing precision (deviation from planned placement site), duration of procedure, renal function, neurocognitive function, and incidence of endoleaks and paraplegia/hemiplegia were compared. Except for methods of inducing hypotension, TEVAR was performed according to the same protocol in each group.Results: RACP was successfully performed in all patients assigned to the RACP group. Compared with the SNP group, blood pressure was significantly lower (43±5 versus 81±6 mmHg, P=0.003) and the restoration time of blood pressure and the operation duration were significantly shorter (7±2 versus 451±87 seconds, P<0.001; 87±15 versus 106±18 minutes, P<0.001, respectively) in the RACP group. Stent graft localization/deployment was more precise in the RACP group (2±1 versus 5±2 mm, P<0.001). Compared to baseline, there was no significant change after TEVAR in either group in regard to renal function, neurocognitive function, and incidence of endoleaks and paraplegia/hemiplegia.Conclusion: RACP can be safely applied to patients undergoing TEVAR for Stanford B dissection. RACP can shorten the operation duration and facilitate precise graft localization/deployment.Keywords: Stanford B aortic dissection, endovascular repair, rapid artificial cardiac pacing, precise graft deploymentChen JHuang WHLuo SYYang DHXu ZRLuo JFDove Medical PressarticleStanford B aortic dissectionendovascular repairrapid right ventricular pacingprecise graft deploymentGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 73-78 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Stanford B aortic dissection endovascular repair rapid right ventricular pacing precise graft deployment Geriatrics RC952-954.6
spellingShingle	Stanford B aortic dissection endovascular repair rapid right ventricular pacing precise graft deployment Geriatrics RC952-954.6 Chen J Huang WH Luo SY Yang DH Xu ZR Luo JF Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
description	Jun Chen,1,* Wenhui Huang,2,* Songyuan Luo,2,* Dahao Yang,1 Zhengrong Xu,1 Jianfang Luo21Department of Angiocardiopathy, Affiliated Baoan Hospital of Southern Medical University, Shenzhen City, People's Republic of China; 2Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, People's Republic of China*These authors contributed equally to this workObjective: To compare the safety, efficacy, and impact on stent graft positioning between rapid artificial cardiac pacing (RACP), induced hypotension and sodium nitroprusside (SNP) induced hypotension during thoracic endovascular aortic repair (TEVAR) for Stanford B aortic dissection.Methods: One hundred and sixty-eight patients, who were diagnosed with Stanford B aortic dissection and who underwent selective TEVAR in Guangdong General Hospital and the People's Hospital of Baoan District, Shenzhen, People's Republic of China, were enrolled in this study. Patients were randomly divided into a RACP group (n=77) and a SNP group (n=91). During localization and deployment of the stent graft, hypotension was induced by RACP or intravenous SNP, according to randomization. Hemodynamics, landing precision (deviation from planned placement site), duration of procedure, renal function, neurocognitive function, and incidence of endoleaks and paraplegia/hemiplegia were compared. Except for methods of inducing hypotension, TEVAR was performed according to the same protocol in each group.Results: RACP was successfully performed in all patients assigned to the RACP group. Compared with the SNP group, blood pressure was significantly lower (43±5 versus 81±6 mmHg, P=0.003) and the restoration time of blood pressure and the operation duration were significantly shorter (7±2 versus 451±87 seconds, P<0.001; 87±15 versus 106±18 minutes, P<0.001, respectively) in the RACP group. Stent graft localization/deployment was more precise in the RACP group (2±1 versus 5±2 mm, P<0.001). Compared to baseline, there was no significant change after TEVAR in either group in regard to renal function, neurocognitive function, and incidence of endoleaks and paraplegia/hemiplegia.Conclusion: RACP can be safely applied to patients undergoing TEVAR for Stanford B dissection. RACP can shorten the operation duration and facilitate precise graft localization/deployment.Keywords: Stanford B aortic dissection, endovascular repair, rapid artificial cardiac pacing, precise graft deployment
format	article
author	Chen J Huang WH Luo SY Yang DH Xu ZR Luo JF
author_facet	Chen J Huang WH Luo SY Yang DH Xu ZR Luo JF
author_sort	Chen J
title	Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
title_short	Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
title_full	Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
title_fullStr	Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
title_full_unstemmed	Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
title_sort	application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/aa1720d1685e429a8f3369e4cfba0196
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Application of rapid artificial cardiac pacing in thoracic endovascular aortic repair in aged patients

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