Prevention of Carotid Angioplasty-induced Bradycardia and Hypotension with Temporary Venous Pacemakers
Abstract
Carotid angioplasty with stent placement is becoming an established treatment modality for patients with high-risk carotid stenosis. Unlike carotid endarterectomy, angioplasty causes direct mechanical dilation of the stenotic carotid artery and bulb. Stimulation of the sinus baroreceptors induces a reflexive response that consists of increased parasympathetic discharge and inhibition of sympathetic tone, which results in bradycardia and subsequent cardiogenic hypotension.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Oct 01, 2001
- Source ID
- 10.1097/00006123-200110000-00006
Entities
People
- Ashwini Sharan
- James S Harrop
- Jeffrey Thomas
- Robert H. Rosenwasser
- Rocco Armonda
- Ronald P. Benitez
Organizations
- Thomas Jefferson University Hospital
- Uniformed Services University of the Health Sciences