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Updated: Sep 13, 2025

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心脏植入式电子设备的植入和功能,经过过导管三角替换后的心脏植入式电子设备的植入和功能

Eric D Braunstein¹, Eli Simsolo¹, Nabeel Kassam¹

¹Smidt Heart Institute, Cedars-Sinai, Los Angeles, California.

|August 2, 2025

概括

跨导管三门置换 (TTVR) 经常导致需要起器的节律失常. 无心脏起器植入在所有患者中都是成功的,但长期监测"被监禁"的线索至关重要.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
心脏电生理学心脏电生理学

背景情况:

通过导管的三膜置换 (TTVR) 是三膜吐的最小侵入性选择.
心脏植入式电子设备 (CIED) 常见于三腹的患者.
TTVR可能会导致肌不整,可能需要植入心脏起器.

研究的目的:

为了评估TTVR.之后的CIED结果.
为了确定TTVR后的布拉迪亚节律失常和心脏起器植入后的发病率.
评估在接受TTVR的先前存在CIED的患者的结果.

主要方法:

对接受TTVR的患者的回顾性分析,有或没有现有的CIED.
对CIED患者的设备和临床结果的评估.
在没有CIED的患者中识别节律失常的危险因素和心脏起器植入的结果.

主要成果:

33.3%的TTVR患者有先前存在的CIED; 27.0%的线索穿过三管.
在没有CIED的患者中,有30.1%的患者出现了需要植入心脏起器的节律失常症.
在13名患者中成功植入了无心脏起器;使用"被监禁"的TTVR程序取得了成功,导致的并发症最小.

结论:

在TTVR之后,不良心律常见,通常需要植入心脏起器.
无心脏起器植入是TTVR后的一个成功策略.
虽然TTVR在CIED患者中是可行的,但对"被监禁"线索的长期监测是必不可少的.

关键词:

区分区分区分区分区分区分区分区心脏阻塞可以阻止心脏.在ICD的基础上,ICD是ICD.无心脏起器是一种无心脏起器.起器是一种心脏起器.在TTVRR上播放.通过导管三管门的三管门

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