简介：BackgroundRapidrightventricularpacingisoneofthemethodsforcounteractingthe'windsock'effectinthethoracicendovascularaorticrepair(TEVAR).Mostofthedoctorsaretocompletethisoperationundergeneralanesthesia.Now,ouroperationhasbeenperformedunderlocalanesthesia.Norelatedreportswerefoundastowhethercanthepatienttoleraterapidrightventricularpacingunderlocalanesthesia.MethodsFrom2009Januaryto2010January,inourhospitalalltheDeBakeyⅢaorticdissectionpatientswhounderwentTEVARwererandomlydividedintogeneralanesthesiagroup(n=50)andlocalanesthesiagroup(n=51).Allthedatawerecomparedbetweentwogroupsincludingthehemodynamicindexes,thegraftpositioningaccuracy,rapidpacingduration,operationtime,intraoperativediscomfortandpostoperativeneurologicalunderstandingfunctionchangesandthecomplications.ResultsThesuccessratewere100%inthetwogroups.Thedurationofrapidpacing,operationtime,theaccuracyofgraftlocalizationandtheintraoperativediscomfortscoresofNumericalPainRatingScaleshowednosignificantdifferencebetweenthetwogroups(P>0.05).Therewerenorapidrightventricularpacing-relatedcomplicationsinthetwogroups.ConclusionDuringthoracicendovascularaorticrepairprocedure,rapidrightventricularpacingunderlocalanesthesiaissafeandfeasible.Thusitisworthytobepopularizedinclinicalpractice.