在双开关手术后进行传导系统节奏调整,以获得先天纠正的大动脉转移的先天纠正
William Regan1, Eric Rosenthal1, John-Ross Clarke2
1Department of Paediatric and Adult Congenital Heart Disease, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Pacing and clinical electrophysiology : PACE
|December 24, 2024
概括
在患有先天性心脏病 (CHD) 的成年人中,导电系统节奏 (CSP) 正在推进. 经过修改的技术成功地使复杂病例的节奏能够实现,特别是在双开关手术后,用于先天纠正大动脉的转移.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 在患有先天性心脏病 (CHD) 的成年人中,传导系统节奏 (CSP) 的使用正在增加.
- 在复杂的CHD解剖学中,CSP的数据有限.
- 由于解剖学变异,标准的CSP技术在患有大动脉先天纠正转移 (ccTGA) 后双开关手术的患者中具有挑战性.
研究的目的:
- 在双开关手术后为ccTGA患者描述一种修改后的CSP技术.
- 为了证明在这个具有挑战性的群体中实现稳定的His捆或左捆分支节奏的可行性.
主要方法:
- 成功应用修改后的CSP技术.
- 提供工具修改,以提高基底隔膜的稳定性.
- 准远距离的His捆和近距离的左捆分支,以节奏引导部署.
主要成果:
- 在患有复杂心血管疾病解剖学的患者中成功实现了导电系统节奏.
- 证明了改造工具在应对解剖学挑战中的有效性.
- 在His-Purkinje系统中实现了稳定的位.
结论:
- 修改后的CSP技术对于 ccTGA后双切换成年人的节奏是有效的.
- 工具修改对于克服CHD中CSP的解剖学复杂性至关重要.
- 这种方法扩大了CSP在复杂的先天性心脏病中的适用性.
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