임시형심박조율기없이시행한경피적우관동맥중재술의 안전성 : 전향적연구

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1 Original Articles Korean Circulation J 1999;2911: 임시형심박조율기없이시행한경피적우관동맥중재술의 안전성 : 전향적연구 이성윤 권현철 김현중 정진옥 안경주 이상철 조욱현 박승우김준수 김덕경 이상훈 홍경표 박정의 서정돈 이원로 Safety of Percutaneous Right Coronary Intervention without Temporary PacemakerProspective Study Sung Yun Lee, MD, Hyeon-Cheol Gwon, MD, Hyun Jung Kim, MD, Jin Ok Jeong, MD, Kyung Ju Ahn, MD, Sang Cheol Lee, MD, Wook Hyun Cho, MD, Seung Woo Park, MD, June Soo Kim, MD, Duk Kyung Kim, MD, Sang Hoon Lee, MD, Kyung Pyo Hong, MD, Jeong Euy Park, MD, Jeong Don Seo, MD and Won Ro Lee, MD Division of Cardiology, Department of Medicine, Sungkyunkwan University, School of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Seoul, Korea ABSTRACT BackgroundThe prophylactic use of temporary pacemaker during coronary intervention has been markedly decreased since 1980 s. There is, however, few systematic report focusing on right coronary intervention in which temporary pacemaker would be most beneficial. Moreover, there has been marked development in coronary intervention recent years that risk and benefit of prophylactic pacemaker should be reconsidered. MethodWe performed right coronary artery intervention without prophylactic use of temporary pacemaker in 100 successive patients in Samsung Medical Center. Patients with previous AV block and rotational atherectomy cases were excluded. The incidence of all complications and changes of blood pressure as well as heart rate during coronary intervention were examined prospectively. ResultsThe lesion type was B2 or C in 52% and intracoronary thrombus was found in 18% of patients. Nevertheless, there was neither life threatening bradycardia nor new onset arrhythmia in any patient during right coronary intervention. ConclusionThese data suggest that omission of prophylactic use of temporary pacemaker may be safe in right coronary intervention only if excluding previous patients with high degree atrioventricular block and rotational atherectomy cases. This approach may reduce procedure time and cost as well as pacemaker-associated complications. Korean Circulation J 1999;2911: KEY WORDSCoronary intervention Temporary pacemaker Safety. 1182

2 서론 대상및방법 대상 결과 대상및시술 1183

3 혈압및심박수 합볍증 1184 Korean Circulation J 1999;2911:

4 고안 1185

5 1186 결 서론 : 방법 : 결과 : 결론 : Korean Circulation J 1999;2911: 론 요약

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