title: The use of right ventricular pacing to facilitate stent graft deployment in the distal aortic arch: a case report.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Moon
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Dowdall
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
mesh_terms: 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