トランスキャテーターによる大動脈弁置換の手続きにおけるワイヤペーシング技術の最適化:Jワイヤペーシングを1つのセンターで使用する経験
Ruisong Ma1,2,3,4,5, Lili Zhang1,2,3,4,5, Wang Liao1,2,3,4,5
1Department of Cardiology, Hainan General Hospital, Haikou, China.
Frontiers in cardiovascular medicine
|February 12, 2026
まとめ
J-ワイヤペーシングは,ペーシングの値を下げることで,トランスキャテーター大動脈弁置換 (TAVR) の間における手術中のペーシングを大幅に改善します. この新しい技術は,従来のワイヤペーシング方法と比較して,安全性と効率性を高めます.
科学分野:
- 心臓病学 心臓病学
- 介入性心臓病学 介入性心臓病学
- 医療機器 医療機器について
背景:
- トランスキャテーターによる大動脈弁置換 (TAVR) の伝統的なワイヤペーシングは,右心室ペーシングと同等の安全性と有効性を示しています.
- しかし,従来の方法は,高い値,インピデンス,ペースの不安定性など,いくつかの患者に課題をもたらします.
研究 の 目的:
- TAVR中の新しいJワイヤペーシング技術の安全性と有効性を評価する.
- Jワイヤーのペースと伝統的なワイヤーのペースを比較するために,ペースの値とインペダンスを比較します.
主な方法:
- J-ワイヤペーシングのテクニックが開発され,補助または主要なアクセスシートを使用して,左心室のワイヤーでループ回路を作成しました.
- 26人の患者を対象に,従来のペースとJ-ワイヤーのペースの両方に対して,手術中のペースの値とインペダンスが測定されました.
- この手順では,より低いペーススリーホールを出す方法が選択されました.
主要な成果:
- J-ワイヤペーシンググループは,手術の成功率100%を達成しました.
- Jワイヤ群の患者の比率は,従来のペース (0%) と比較して,ピッシングの値≤5V (76.92%) を有意に上回りました.
- 対照的に,J-ワイヤグループでは,従来のペース (38.46%) に比べて,値≥10V (0%) の患者の割合が著しく低下しました.
結論:
- Jワイヤペーシングは,TAVRの伝統的なワイヤペーシングと比較して,より高い安全性と有効性を示しています.
- この単一センターでの経験は,TAVR手順の貴重な精錬としてJ-ワイヤのペースを示唆しています.
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