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 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.
Mixon
Timothy A
TA
Department of Medicine, Scott and White Hospital and Clinic, Temple, Texas 76508, USA. tmixon@swmail.sw.org
Cross
Donald S
DS
Lawrence
Mark E
ME
Gantt
D Scott
DS
Dehmer
Gregory J
GJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D001919:Bradycardia / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D002304:Cardiac Pacing, Artificial; D003324:Coronary Artery Disease / Q000453:epidemiology / Q000628:therapy*; D017097:Electric Impedance; D004562:Electrocardiography; D004567:Electrodes, Implanted; D004867:Equipment Design; D005260:Female; D006329:Heart Conduction System / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000628:therapy; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011237:Predictive Value of Tests; D012307:Risk Factors; D016896:Treatment Outcome; D016276:Ventricular Function / Q000502:physiology