一个患有持续的左上静脉和缺少右上静脉的患者的导管系统节奏:一个病例报告
Oriol Rodriguez-Queralto1, Carlos Gonzalez-Matos1, Fatima Zaraket1
1Electrophysiology Unit, Cardiology Department, Hospital del Mar, Institut Hospital del Mar Investigacions Mèdiques (IMIM), Universitat Pompeu Fabra, 25-27 Passeig Marítim de la Barceloneta, 08003, Barcelona, Spain.
Journal of medical case reports
|October 25, 2025
概括
导电系统节奏是复杂的心脏解剖学患者的可行的替代方案,例如持续的左上静脉,当标准疗法失败时. 这种方法确保了安全和有效的节奏与微小的技术调整.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 医疗器械技术 医疗器械技术
背景情况:
- 生理节奏是心脏再同步治疗 (CRT) 失败的新兴替代方案.
- 越来越复杂的临床场景需要先进的节奏技术.
研究的目的:
- 评估传导系统节奏 (CSP) 在患有复杂先天静脉异常的患者中的可行性和安全性.
- 为了证明CSP技术在具有挑战性的解剖情况中的适应性.
主要方法:
- 一个案例介绍了一名83岁的男性,他接受了试图的CRT.
- 由于持续的左上腔静脉和右上腔静脉的缺失,并没有发现合适的冠状动脉脉,利用了CSP的修改方法.
- 采用了传统的工具,对植入进行了轻微的修改.
主要成果:
- 传导系统节奏的成功植入得到了实现.
- 患者独特的静脉解剖学 (持续的左上静脉) 并没有阻止成功的节奏.
结论:
- 持续的左上静脉与安全的导导系统节奏植入是兼容的.
- 通过使用标准设备和微小的技术修改,即使在患有复杂静脉异常的患者中,CSP也可以安全地进行.
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