螺旋绕的三状:一个案例报告
1Cardiac Department, Aerospace Center Hospital, Peking University Aerospace School of Clinical Medicine, Beijing 100049, China.
World journal of clinical cases
|November 16, 2023
概括
左捆分支节奏 (LBBP) 提供了生理节奏的好处. 射频除成功地解决了一个罕见的并发症,即LBBP纠与三管的 chordae tendineae.
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:
- 左束枝节奏 (LBBP) 是一种新兴的生理节奏策略.
- 为了改善心室同步,LBBP利用了本地导电系统.
- 与传统节奏相比,LBBP与心房动和心力衰竭的风险降低有关.
研究的目的:
- 报告LBBP植入过程中的罕见并发症.
- 描述与心脏结构纠的成功解决方法.
- 以突出一个创新的解决方案来管理LBBP的程序性挑战.
主要方法:
- 一名64岁的男性患者出现了需要节奏的症状.
- 在LBBP的放置过程中,螺旋与三管 (chordae tendineae) 纠在一起.
- 采用射频除方法,通过除状肌来释放纠的.
主要成果:
- 纠带来了重大的程序性挑战.
- 射频除成功释放了节奏指导.
- 在射频除程序后没有观察到任何并发症.
结论:
- 射频剥离是一种有效和可靠的方法,可以在LBBP期间解决与状肌的纠.
- 这种技术为一种罕见但可能严重的并发症提供了安全的解决方案.
- 这种并发症的成功管理确保了LBBP的好处可以实现.
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