导导导管的实用性用于导电系统节奏:一个早期的多中心体验
Jan De Pooter1, Alan Bulava2, Daniel Gras3
1University Hospital Ghent, Ghent, Belgium.
Heart rhythm O2
|February 5, 2024
概括
新的Selectra 3D导管促进了传导系统步调 (CSP) 的高成功率,并且没有早期严重的不良设备效应. 该工具支持His捆绑节奏 (HBP) 和左捆绑分支区域节奏 (LBBAP),以改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 电子生理学 电子生理学
背景情况:
- 导导系统节奏 (CSP),包括他的捆绑节奏 (HBP) 和左捆绑分支区域节奏 (LBBAP),为传统的右心室节奏提供了一个潜在的优越替代方案.
- CSP技术的有效性和安全性是正在进行的研究和临床兴趣的领域.
研究的目的:
- 为了评估Biotronik Selectra 3D导导导管和Solia S用于CSP植入物的急性性能.
- 评估在临床环境中使用这种新系统的安全性和可行性.
主要方法:
- 这是一项前性,国际性的非随机化研究 (BIOMASTER.Selectra 3D).
- 主要终点:在植入后7天内没有与导管相关的严重不良装置效应 (SADE).
- 招募了157名患者,评估了植入成功,手术时间和导管处理.
主要成果:
- 在147名患者 (93.6%) 中成功实现了CSP,第一周内没有SADE.
- 当考虑HBP和LBBAP方法时,植入成功率接近99%.
- 平均手术和光镜时间分别为大约50分钟和6分钟,大多数情况下只需要一个导管.
- QRS持续时间在捆绑分支块患者中缩小,在没有捆绑分支块的患者中略有扩大,表明CSP的电效应.
结论:
- Selectra 3D导管对HBP和LBBAP植入物是有效的.
- 当考虑两种节奏策略时,观察到高成功率 (~99%),这突显了程序灵活性的价值.
- 导管表现出积极的处理特性和CSP程序的有利安全概况.
关键词:
心脏节拍是因为心脏节拍.导管处理的特性 导管处理的特性导电系统的节奏调节导导管导管是指导导导管中的一个.他的捆绑捆绑.左捆的分支机构区域是分支机构区域.节奏带头植入植入植入植入植入植入植入植入更多相关视频
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