Rapid Ventricular Pacing During Endograft Deployment in the Arch and Ascending Aorta: A Simple, Reliable, and Safe Technique Using a Stabilising Buddy Wire System

Rapid ventricular pacing produces controlled systemic hypotension that can be started and stopped quickly. Pacing blunts the effect of left ventricular ejection and enables precise endograft deployment in the arch and ascending aorta during thoracic endovascular aortic repair (TEVAR). However, standard right ventricular temporary pacing leads are associated with dislodgement and loss of pace capture (incidence 10%–37%), and if this happens...