跨导管大动脉置换期间快速心室节奏的方法的当代审查
Eliza Berman1,2, Arsalan Abu-Much3, Mark Reisman1
1Weill-Cornell Medical Center/New York-Presbyterian Hospital, New York.
Structural heart : the journal of the Heart Team
|March 24, 2025
概括
超导管大动脉置换 (TAVR) 现在正在探索左心室节奏作为右心室节奏的更安全替代品. 这种新的方法可以减少并发症,提高TAVR程序的效率.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 严重的大动脉狭窄的治疗方法是用过导管大动脉置换 (TAVR) 来治疗.
- 右心室 (RV) 节奏是TAVR的标准,但有穿孔等风险.
- 目前正在探索替代步调方法,以提高TAVR的安全性和效率.
研究的目的:
- 审查目前在TAVR中使用的快速节奏技术.
- 为了比较不同节奏策略的安全性,效率和结果.
- 为了突出左心室节奏在TAVR期间的潜在好处.
主要方法:
- 关于TAVR节拍技术的当代文献的审查.
- 对安全概况,程序效率和患者结果的分析.
- 传统的RV加快和替代的LV加快方法之间的比较.
主要成果:
- RV节奏需要额外的静脉通道,并带有穿孔和吸管的风险.
- 通过导线将左心室 (LV) 节奏调节可能会降低成本,手术时间和辐射暴露.
- 在TAVR过程中,LV节奏提供了一个潜在的更安全的替代方案,而不是RV节奏.
结论:
- 左心室节奏是TAVR的一个新兴策略.
- 这种技术可以减轻与传统的RV步调相关的风险.
- 需要进一步的研究,以充分确定TAVR中LV激活的长期结果.
关键词:
在 LV 节奏中,加快 LV 节奏.在RV节奏节奏.塔维 (Tavi) 是一个古老的城市.在TAVRR中,我们可以看到.快速节奏的快速节奏是一个问题.快速的心室节奏是快速的通过导管更换大动脉门.更多相关视频
06:57Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
Published on: January 31, 2019
14.4K
06:10Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
3.2K
相关概念视频
Pulse rhythm
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Dysrhythmias V: Evaluating Dysrhythmias
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
Cardiomyopathy II: Dilated Cardiomyopathy
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
