早期的现实世界植入体验与螺旋固定心室无心脏起器
Devi G Nair1,2, Derek V Exner3, Vivek Y Reddy4
1Bernards Healthcare, Jonesboro, AR, USA. drdevignair@gmail.com.
概括
新的螺旋固定无心脏起器 (LP) 为传统系统提供了更安全,更有效的替代方案,大大减少了并发症. 这项研究显示了成功的现实世界植入,具有出色的电性能和最小的不良事件.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 电力生理学 电力生理学
背景情况:
- 传统的透静脉起器系统具有很高的并发症率 (约. 在1年内,每6名患者中就有1名).
- 并发症主要与透静导管和皮下口袋有关.
- 现在可以使用一种新的螺旋固定心室无心脏起器 (LP),并进行预部署映射.
研究的目的:
- 评估螺旋固定LP系统的初始现实世界植入体验.
- 评估这种新型无节奏技术的安全性和有效性.
- 为了确定LP系统是否能减轻并发症并简化植入.
主要方法:
- 在需要单腔室右心室节奏的患者中,对连续植入螺旋固定Aveir VR LP的尝试进行了回顾性评估.
- 收集的数据包括植入物程序特征,电气参数和30天不良事件.
- 在北美四个中心使用专门的输送系统进行了植入.
主要成果:
- 在167名患者中的98.8% (平均年龄70岁) 成功植入.
- 在95.7%的案例中,预定位电气映射避免了重新定位.
- 优异的急性安全性,98.2%的患者没有不良事件;实现了可行的电气参数.
结论:
- 螺旋固定心室无心脏起器证明了安全高效的现实世界植入.
- 该系统提供最小的重新定位需求和有利的电力指标.
- 有限的急性并发症表明,这是传统节奏系统的有希望的替代方案.
相关概念视频
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