对于左捆分支区域的学习曲线分析,使用常规的Stylet驱动的节奏带来了领先的节奏
Ga-In Yu1,2, Tae-Hoon Kim1, Hee Tae Yu1
1Division of Cardiology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Journal of interventional cardiology
|May 30, 2023
概括
使用笔驱动引线的左捆分支区域节奏 (LBBAP) 是高效和安全的. 对于LBBAP的学习曲线大约是24-25个案例,比他的捆绑节奏更短.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 生理传导系统节奏正在获得引力,以解决右心室节奏 (RVP) 诱导的异步.
- 左捆分支区域节奏 (LBBAP) 为他的捆节奏 (HBP) 提供了替代方案,证明了有效性和安全性.
- 带驱动的线索 (SDL) 已被证明是LBBAP的可行性,补充了没有光线的线索.
研究的目的:
- 为了评估与执行左捆分支区域步调 (LBBAP) 相关的学习曲线,使用笔式驱动步调引擎 (SDL).
主要方法:
- 分析了一组由265名患者组成的队列,这些患者接受了不经验的操作人员的LBBAP或RVP.
- 使用SDL与可伸缩螺旋进行了左捆分支区域步调.
- 学习曲线评估涉及分析光学和手术时间,将LBBAP持续时间与RVP持续时间学习前后曲线进行比较.
主要成果:
- 左捆支部区域节奏 (LBBAP) 实现了100%的成功率 (50/50患者),左捆支部节奏的成功率为98.0% (49/50).
- 平均光镜和LBBAP手术时间分别为15.1 ± 13.5分钟和59.9 ± 24.8分钟.
- 光镜和手术时间高原分别在第25例和第24例左右达到.
结论:
- 操作员的经验显著提高了光学和手术时间在最初的左捆分支区域节奏 (LBBAP) 随着笔驱动的线索 (SDL).
- 使用SDL进行LBBAP的学习曲线大约为24-25例,对于经验丰富的心脏起器植入者来说.
- 这种学习曲线明显短于之前报告的His捆绑节奏 (HBP) 曲线.
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