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钢带驱动的与无光用于左捆分支区域节奏:系统文献综述和元分析

Ga-In Yu¹, Tae-Hoon Kim², Yun-Ho Cho¹

¹Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Republic of Korea.

Pacing and clinical electrophysiology : PACE

|May 23, 2025

概括

支架驱动的节奏线路 (SDL) 与左捆分支区域节奏 (LBBAP) 的无光线节奏线路 (LLL) 不逊色. 这两种类型在LBBAP程序中表现出可比的植入成功和电生理学结果.

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:

与传统的心室节奏相比,左捆分支区域节奏 (LBBAP) 增强了心脏同步.
对于LBBAP,通常使用无光源节拍线 (LLL),但样式驱动的节拍线 (SDL) 是另一种选择.
本研究系统地审查和分析了对LBBAP的LLL和SDL进行比较的文献.

研究的目的:

为了比较SDL与LLL在LBBAP中的有效性和安全性.
评估两种类型之间的植入成功率和程序结果.
用SDL和LLL来评估与LBBAP相关的电生理学特征.

主要方法:

一个系统的审查和对全文文章的元分析,比较LLL和SDL的LBBAP.
搜索了PubMed,Embase和Cochrane图书馆的数据库,截至2024年4月9日.
从7项符合条件的研究中分析了电生理学特征和程序结果.

主要成果:

在LBBAP中,SDL的植入成功率不低于LLL (89%对94%).
没有观察到SDL和LLL之间节奏QRS持续时间或刺激到左心室激活时间的显著差异.
随访节奏参数在两组中保持稳定,表明可比的长期表现.

结论:

使用SDL的LBBAP是一种可行的LLL替代方案,证明了非劣质的植入成功.
对于LBBAP,SDL和LLL的程序和电生理学特征是相似的.
这一发现支持在LBBAP中使用SDL,在领先选择中提供灵活性.

关键词:

导电系统的节奏节奏.左捆分支机构地区节奏节奏.没有光线的步伐领先的领先步伐.这是一个元分析.风笔驱动的节奏带领着领先的节奏.

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