在左捆分支节奏中,无光灯固定螺旋与支柱驱动可伸缩螺旋系统的过程结果的比较: COMPARE LBBPP
Jenish P Shroff1,2, Anugrah Nair1,2, Deep Chandh Raja1
1The School of Medicine and Psychology, Australian National University, Australian Capital Territory (J.P.S., A.N., D.C.R., W.P.A., R.K.P.).
Circulation. Arrhythmia and electrophysiology
|November 29, 2024
概括
笔驱动引线 (SDL) 和无光线引线 (LLL) 在左束分支节奏 (LBBP) 中表现出类似的急性成功和程序结果. 这两种类型都为节奏提供了安全有效的替代方案,具有相似的性能指标和低的并发症率.
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:
- 左捆枝节奏 (LBBP) 是一种新兴,安全和有效的替代传统的右心室节奏.
- 虽然无光线线 (LLL) 已经成为LBBP的标准,但风格驱动线 (SDL) 越来越多地被使用.
- 本研究将SDL与LBBP的LLL的急性成功和程序结果进行比较.
研究的目的:
- 评估和比较在左束分支节奏 (LBBP) 中,笔式驱动线路 (SDL) 与无光线线路 (LLL) 的急性成功率.
- 评估和比较LBBP的SDL和LLL之间的手术结果,包括植入物持续时间,光镜使用和性能.
- 确定使用SDL作为LBBP程序LLL的替代品的安全性和可行性.
主要方法:
- 一项随机对照试验,涉及100名连续接受LBBP的患者.
- 患者被随机分配1:1接受SDL (Tendril STS) 或LLL (SelectSecure 3830).
- 主要终点包括急性LBBP成功,程序参数 (植入物持续时间,光镜) 和与有关的并发症.
主要成果:
- 在SDL (90%) 和LLL (92%) 组 (P=0.7) 之间,急性LBBP成功率相似.
- 两种类型之间的螺丝试验,植入物持续时间,平均光镜剂量或光镜时间没有显著差异.
- 失效,微型脱和宏型脱的发生率相似,在植入物和随访时的节奏值相似.
结论:
- 左捆分支节奏 (LBBP) 是可行的,无论是风格驱动的线索 (SDL) 和无光线线索 (LLL),实现类似的成功率和低捕获值.
- 在两种系统中,程序的持续时间,光学利用率和性能都是可比的.
- 两种系统都没有记录任何重大并发症,这表明LBBP中SDL和LLL的安全概况良好.
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