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与传导系统节奏相关的洞穴使用专有可偏向映射导管,带有笔驱动的

Anindya Ghosh¹, Mohamed Akram Ka¹, Chenni S Sriram²

¹Department of Cardiac Electrophysiology and Pacing, Arrhythmia Heart Failure Academy, The Madras Medical Mission, 4-A, Dr. JJ Nagar, Mogappair, Chennai, Tamil Nadu, India.

Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

|October 15, 2023

概括

带有可偏向映射导管的带驱动导线 (SDL) 为传导系统步调 (CSP) 提供了一种安全和可行的方法. 虽然尝试了His bundle pacing (HBP),但往往需要左捆分支区域步调 (LBBaP),有时需要手动隔膜曲线.

科学领域:

心脏病学心脏病学
电子生理学电子生理学
医疗器械医疗器械

背景情况:

无光线线 (LLL) 是传导系统步调 (CSP) 的标准.
这项研究介绍了使用可偏向映射导管的笔驱动导线 (SDL) 对CSP的最大经验.

研究的目的:

为了评估CSP的安全性,可行性和有效性,使用带有可偏向映射导管的SDL.
报告程序成功率和中期后续结果.

主要方法:

使用SDLs对CSP患者的前性,顺序性招募.
在1:1的非随机方式中,比较一种新的可偏向映射导管 (A组) 和一个固定曲线罩 (B组).
在A组的默认策略是他的捆绑节奏 (HBP) 与左捆绑分支区域节奏 (LBBaP) 作为救助.

主要成果:

79名患者被录取;40名在A组,39名在B组.
在A组,HBP在42.5%的患者中成功,其中57.5%需要LBBaP救助.
手动隔膜曲线在26.1%的救助案件中帮助了LBBaP;程序和后续参数在HBP和LBBaP之间没有显著差异.

结论:

带有单曲线可偏向映射导管的SDL对于CSP来说是安全和可行的.
通过HBP取得了适度的程序性成功,但经常需要LBBaP救助.
在大约四分之一的救助案例中,优化LBBaP需要一个不平面的手动隔膜曲线.

关键词:

阿吉利斯HisPro公司导电系统的节奏调节可偏移的映射导管.在此之前,HBP HBP LBBaP LBBaP 在线阅读带着刀驱动的头.

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