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通过胸腔心声导向植入Aveir VR无心脏起器,无需光镜

Haojie Zhu¹, Pingping Gao¹, Fujian Duan²

¹Cardiac Arrhythmia Center, Fuwai Hospital, National Center For Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Pacing and clinical electrophysiology : PACE

|February 27, 2026

概括

本案例研究表明,使用胸前心声学 (TTE) 的无心脏起器植入是可行的和安全的. 这种超声波引导的技术避免了辐射和对比度,有利于慢性病患者.

科学领域:

心脏病学心脏病学
医疗成像医学成像
设备工程设备工程

背景情况:

传统的无心脏起器植入使用光学和对比,造成毒性和辐射暴露的风险.
晚期慢性病患者特别容易受到对比引起的毒性.
光镜使患者暴露在额外的电离辐射中,这对某些患者群体来说是一个问题.

研究的目的:

报告一个无心脏起器植入的案例,仅使用胸前心电回声学 (TTE) 指导.
评估超声波技术的可行性和安全性,用于无心脏起器植入.
为那些对比度或辐射有禁忌的患者提供替代的植入策略.

主要方法:

一名69岁的男性患者患有末期脏病和鼻停止,接受了Aveir VR无心脏起器植入.
整个程序,包括导航,定位,门测试和部署,都使用实时跨胸腔心声学 (TTE) 进行.
飞利浦EPIQ系统与X5-1传感器被用于超声波可视化.

主要成果:

在没有光镜或对比剂的情况下,成功植入了Aveir VR无心脏起器.
记录了最佳的手术后节奏参数.
没有观察到任何手术并发症,并且通过胸部X射线图确认了设备的位置.

结论:

超声导向无心脏起器植入是一种潜在的可行和安全的替代方案.
这种技术为那些无法接受对比或辐射暴露的患者提供了有价值的选择.
需要进一步的研究来验证和标准化这种新的植入方法.

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