Key result
Transcoronary guidewire electrophysiology may assess myocardial viability and enable temporary ventricular pacing.
Why the study?
Further research is required to refine the use of coronary guidewires and establish the clinical utility of trans coronary electrophysiology in assessing myocardial viability.
Intracoronary guidewires offer a potential dual utility for temporary cardiac pacing and immediate on-table assessment of myocardial viability during PCI, warranting further investigation.
Answers are grounded in this paper and cite their sources.
Should not change PCI practice; leaves open guidewire electrophysiology for viability assessment and pacing.
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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Javid et al. (2023) conducted a review in Myocardial viability. Trans coronary electrophysiology using coronary guidewires was evaluated. Trans coronary electrophysiology using coronary guidewires may have a potential role in assessing myocardial viability and providing temporary ventricular pacing, requiring further research.
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