同时无心脏起器植入器通过内部状方法进行心房节切除
John J Lee1, Emile G Daoud2, Joel W Simon1
1Department of Electrophysiology, Baptist Health Lexington, Lexington, Kentucky, USA.
Pacing and clinical electrophysiology : PACE
|November 3, 2025
概括
同时的内静脉接入用于无心脏起器植入和心房结节切除是可行的和安全的. 这种方法可以提前行走和出院,为心房动患者提供了替代策略.
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:
- 同时通过内静脉 (IJ) 进行心房静脉节切除 (AVNA) 和无心脏起器 (LLPM) 植入并未得到充分证实.
- 本研究研究了使用AVEIR LLPM的这种综合方法的可行性和结果.
研究的目的:
- 评估通过内静脉同时进行AVNA和LLPM植入的安全性和有效性.
- 评估IJ静脉方法的潜力,作为替代ablate和步伐策略的替代方案.
主要方法:
- 十名患有持续性心房动和快速心室率的患者,不适合标准切除,同时通过IJ静脉进行AVEIR LLPM植入和AVNA.
- 由于患者的偏好和解剖学挑战,进行了手术,并进行了至少4周的随访.
主要成果:
- 在所有10名患者中,成功实现了同时植入和切除.
- 该手术表明植入和手术时间短,光镜时间短,并且没有设备重新定位或与手术相关的并发症.
- 在大多数情况下,患者经历了快速的血液静止,早期行走和当天出院,RF电流和LLPM功能之间没有不良相互作用.
结论:
- 从肠道静脉同时植入AVNA和LLPM是一种可行的安全策略.
- 肠道静脉通道为切除和节奏手术提供了有价值的替代方案,促进了患者的早期康复和出院.
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