我们在三级医疗中心的左捆支部区域步调 (LBBAP) 的初始经验,使用带驱动的步调引线 (SDL)
Goutam Kumar1, Chandrabhanu Chandan1, Nithyapriya T K1
1Department of Cardiology, Indira Gandhi Institute of Medical Sciences, Patna, IND.
Cureus
|June 26, 2025
概括
左捆支部区域节奏 (LBBAP) 是一种可行的生理节奏方法,成功率为90%,为传统节奏提供了安全的替代方案. 这项研究在印度使用风格驱动的线索评估了LBBAP.
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:
- 左捆分支区域步调 (LBBAP) 正在作为传导系统步调 (CSP) 的替代品获得引力.
- 评估LBBAP与风格驱动的步调引线 (SDL) 对于其更广泛的采用至关重要.
研究的目的:
- 用SDL评估LBBAP的可行性,安全性和结果.
- 为了研究LBBAP在印度东部的第三级护理中心的疗效.
主要方法:
- 一个单一中心的回顾性研究,涉及20名患者超过一年.
- 收集的数据包括手术特征,心电图 (ECG) 和心内电图 (EGM).
- 从机构道德委员会 (IEC),IGIMS,帕特纳获得的道德批准.
主要成果:
- 植入器成功率为90% (20名患者中18名).
- 在捆绑分支区块和步调指示中观察到的统计学意义上的差异 (p<0.001和p=0.002).
- 单极与双极阻抗的高度显著的差异 (p=0.002).
结论:
- 永久性LBBAP与SDL是一种可行的生理节奏选择.
- 没有报告 septal 穿孔并发症.
- 限制包括小样本大小和回顾性设计,需要进一步研究.
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