在TTVR后成功提取被困的CIED
Johannes Kirchner1, Barbara Rubinic1, Muhammed Gerçek1
1Department of General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
JACC. Case reports
|January 21, 2026
概括
跨导管三门置换 (TTVR) 可以困住右心室 (RV) 导线. 在经验丰富的中心,TTVR后的提取是可行的,无心脏起器为RV节奏提供了替代方案.
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:
- 透导管三管替换 (TTVR) 是严重三管吐的一种选择.
- 在TTVR装置植入过程中,右心室 (RV) 导线可能会被困住.
研究的目的:
- 在TTVR期间报告RV陷的情况.
- 讨论TTVR后的提取的可行性和影响.
- 评估无节拍器作为一种替代节拍策略.
主要方法:
- 描述了一个83岁的妇女接受TTVR与RV陷的病例.
- 在TTVR后的阻监测表明了潜在的故障.
- 进行了无心脏起器植入程序,在此过程中,被困的被提取出来.
主要成果:
- 在没有脱离TTVR装置的情况下,成功地提取了陷入RV的线.
- 无心脏起器植入技术上是可行的RV节奏后TTVR.
结论:
- 在经验丰富的中心中,在TTVR之后提取被困的RV线索可能是可行的.
- 应考虑预防性提取以减轻风险.
- 无心脏起器是TTVR患者RV节奏的可行替代方案.
相关概念视频
Ecological Succession
21.3K
Ecological succession is influenced by the processes of facilitation, inhibition, and toleration. Facilitation occurs when early successional species create more favorable ecological conditions for subsequent species, such as enhanced nutrient, water, or light availability. In contrast, inhibition happens when early successional species create unfavorable ecological conditions for potential successive species, such as limiting resource availability. In some cases, later successional species...
21.3K
Phase-lead and Phase-lag Controllers
536
Understanding the working function of different types of controllers can be illustrated with practical analogies, such as adjusting a stereo's volume equalizer. Cranking up the bass involves a phase-lead controller, which functions as a high-pass filter, while increasing the treble uses a phase-lag controller, which acts as a low-pass filter. PD controllers, similar to high-pass filters, enhance the system's response to high-frequency components. PI controllers, akin to low-pass...
536
Time and frequency -Domain Interpretation of Phase-lead Control
435
Phase-lead controllers are commonly used in various control systems to enhance response speed and stability. Adjusting the brightness on a television screen offers a practical example of phase-lead control. When contrast is enhanced, a phase-lead controller is employed. Mathematically, phase-lead control is identified when the first parameter is smaller than the second.
The design of phase-lead control involves the strategic placement of poles and zeros to balance steady-state error and system...
The design of phase-lead control involves the strategic placement of poles and zeros to balance steady-state error and system...
435
Extraction: Effects of pH
1.3K
Consider a neutral form of an amine, B, with a partition coefficient, K, in a liquid mixture containing organic and aqueous phases. The pH of the aqueous phase affects the charge on acidic and basic solutes, and the charged form is usually more soluble in the aqueous phase. Suppose the conjugate acid form of the amine is soluble only in the aqueous phase while the base form is soluble in both phases. Then the distribution coefficient, D, can be given as the ratio of amine concentration in the...
1.3K
Extraction: Advanced Methods
1.1K
Metal ions can be separated from one another by complexation with organic ligands–the chelating agent– to form uncharged chelates. Here, the chelating agent must contain hydrophobic groups and behave as a weak acid, losing a proton to bind with the metal. Since most organic ligands used in this process are insoluble or undergo oxidation in the aqueous phase, the chelating agent is initially added to the organic phase and extracted into the aqueous phase. The metal-ligand complex is...
1.1K
Extraction: Partition and Distribution Coefficients
4.6K
The distribution law or Nernst's distribution law is the law that governs the distribution of a solute between two immiscible solvents. This law, also known as the partition law, states that if a solute is added to the mixture of two immiscible solvents at a constant temperature, the solute is distributed between the two solvents in such a way that the ratio of solute concentrations in the solvents remains constant at equilibrium.
For extracting a solute from an aqueous phase into an...
For extracting a solute from an aqueous phase into an...
4.6K


