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Ann Thorac Surg 2006;81:e21-e23
© 2006 The Society of Thoracic Surgeons

How to do it

Rapid Ventricular Pacing to Lower Blood Pressure During Endograft Deployment in the Thoracic Aorta

Suwatchai Pornratanarangsi, MD, Mark W.I. Webster, MB, ChB * , Peter Alison, MB, ChB, Parma Nand, MB, ChB

Green Lane Cardiovascular and Cardiothoracic Surgery Units, Auckland City Hospital, Auckland, New Zealand

Accepted for publication January 23, 2006.

* Address correspondence to Dr Webster, Green Lane Cardiovascular Service, Auckland City Hospital, Private Bag 92 024, Auckland, 1001 New Zealand (Email: mwebster{at}adhb.govt.nz).

Controlled hypotension is critical to the accurate deployment of aortic endografts and safe balloon post-dilation. We describe the use of rapid ventricular pacing during 15 aortic stenting procedures. An immediate and sustained reduction in both phasic and mean blood pressure was achieved in all patients. This procedure has advantages over pharmacologic or other methods of blood pressure reduction.






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Copyright © 2006 by The Society of Thoracic Surgeons.