Safety of Percutaneous Right Coronary Intervention without Temporary Pacemaker: Prospective Study.
10.4070/kcj.1999.29.11.1182
- Author:
Sung Yun LEE
;
Hyeon Cheol GWON
;
Hyun Jung KIM
;
Jin Ok JEONG
;
Kyung Ju AHN
;
Sang Cheol LEE
;
Wook Hyun CHO
;
Seung Woo PARK
;
June Soo KIM
;
Duk Kyung KIM
;
Sang Hoon LEE
;
Kyung Pyo HONG
;
Jeong Euy PARK
;
Jeong Don SEO
;
Won Ro LEE
- Publication Type:Original Article
- Keywords:
Coronary intervention;
Temporary pacemaker;
Safety
- MeSH:
Arrhythmias, Cardiac;
Atherectomy, Coronary;
Atrioventricular Block;
Blood Pressure;
Bradycardia;
Coronary Vessels;
Heart Rate;
Humans;
Incidence;
Prospective Studies*;
Thrombosis
- From:Korean Circulation Journal
1999;29(11):1182-1187
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The prophylactic use of temporary pacemaker during coronary intervention has been markedly decreased since 1980's. There is, however, few systematic report focusing on right coronary intervention in which temporary pacemaker would be most beneficial. Moreover, there has been marked development in coronary intervention recent years that risk and benefit of prophylactic pacemaker should be reconsidered. METHOD: We performed right coronary artery intervention without prophylactic use of temporary pacemaker in 100 successive patients in Samsung Medical Center. Patients with previous AV block and rotational atherectomy cases were excluded. The incidence of all complications and changes of blood pressure as well as heart rate during coronary intervention were examined prospectively. RESULTS: The lesion type was B2 or C in 52% and intracoronary thrombus was found in 18% of patients. Nevertheless, there was neither life threatening bradycardia nor new onset arrhythmia in any patient during right coronary intervention. CONCLUSION: These data suggest that omission of prophylactic use of temporary pacemaker may be safe in right coronary intervention only if excluding previous patients with high degree atrioventricular block and rotational atherectomy cases. This approach may reduce procedure time and cost as well as pacemaker-associated complications.
