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Related Experiment Video

Updated: May 15, 2026

Novel Percutaneous Approach for Deployment of 3D Printed Coronary Stenosis Implants in Swine Models of Ischemic Heart Disease

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Left main coronary stent positioning using rapid transcoronary pacing.

Crochan J O'Sullivan¹, Bernhard Meier

¹Professor and Chairman of Cardiology, Cardiovascular Department, Bern University Hospital, 3010 Bern, Switzerland.

The Journal of Invasive Cardiology

|January 8, 2013

Summary

Temporary transcoronary pacing offers a safe and effective alternative for managing bradyarrhythmias during percutaneous coronary intervention. This technique also aids in precise stent placement within the left main coronary artery bifurcation.

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Published on: December 11, 2017

Area of Science:

Cardiology
Interventional Cardiology
Cardiac Electrophysiology

Background:

Temporary pacing is crucial for managing bradyarrhythmias during percutaneous coronary intervention (PCI).
Traditional transvenous pacing carries risks and can be challenging in certain anatomies.
Transcoronary pacing presents a less invasive alternative.

Observation:

Temporary transcoronary unipolar pacing is a validated, simple, effective, and safe method.
This technique was successfully employed to facilitate precise stent deployment.
The specific application involved a stent placed in the left main coronary artery bifurcation.

Findings:

Transcoronary pacing effectively treats bradyarrhythmias complicating PCI.
Rapid transcoronary pacing aids accurate stent placement in complex bifurcations.
It offers a viable alternative to transvenous pacing in the right ventricle.

Implications:

This method enhances procedural safety and efficacy in complex PCI.
It may reduce complications associated with traditional pacing methods.
Broadens the utility of transcoronary pacing in interventional cardiology.