Ann Vasc Surg 2016 Jul 10;34:206-11. Epub 2016 May 10.
Cardiothoracic and Vascular Department, Vascular Surgery Unit, IRCCS Ospedale San Raffaele, Milano, Italy; Cardiothoracic and Vascular Department, IRCCS Ospedale San Raffaele, Università Vita-Salute San Raffaele, Milano, Italy.
: The risk of severe perioperative bradyarrhythmias in patients with chronic left bundle branch, or bifascicular block, and an additional first-degree atrioventricular block undergoing carotid endarterectomy (CEA) has never been specifically addressed. In this study, we aimed to investigate whether these conduction abnormalities entail an increased risk of hemodynamic compromise during CEA and the role of temporary transvenous pacemaker (TTVPM) implantation as a prophylactic measure in this subgroup of patients.Methods
: Between June 2006 and June 2013, 37 CEAs were performed in 31 patients (29 men, mean age 76 ± 6 years), in whom a TTVPM was implanted for a trifascicular block. Read More