Coronary Guidewires in Temporary Cardiac Pacing and Assessment of Myocardial Viability: Current Perspectives and Future Directions

Overview

Journal J Clin Med

Specialty General Medicine

Date 2023 Nov 25

PMID 38002591

Authors

Rabeia Javid

Nancy Wassef

Stephen B Wheatcroft

Muzahir H Tayebjee

Affiliations

Soon will be listed here.

Abstract

Intracoronary guidewires used in percutaneous coronary intervention can also be configured to provide temporary ventricular pacing. Trans coronary electrophysiological parameters recorded by employing coronary guidewires may have a potential role in assessing myocardial viability and could provide a means to make an immediate on-table decision about revascularisation. To date, some small studies have demonstrated the safety of this technique in temporary cardiac pacing, but further research is required to refine this approach and establish its clinical utility in myocardial viability assessment. In this review we discuss the potential role of trans coronary electrophysiology in the assessment of myocardial viability.

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