The use of right ventricular pacing to facilitate stent graft deployment in the distal aortic arch: a case report.
Stent graft repair of aortic pathology involving the distal aortic arch requires precise device deployment based on excellent imaging and stable hemodynamics. An inadequate proximal seal may result in a type I endoleak, which may require an additional device or even conversion to open surgery to control. This case report describes transvenous rapid pacing, a safe and reproducible technique to allow precise deployment or balloon dilation of a stent graft in the distal arch or proximal thoracic aorta.
Moon
Michael C
MC
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA.
Dowdall
Joseph F
JF
Roselli
Eric E
EE
D000368:Aged; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002304:Cardiac Pacing, Artificial; D002404:Catheterization; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D016278:Ventricular Function, Right