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在手术内可视化一个Thebesian静脉影响心房螺旋-固定无心脏起器植入策略策略

Charles Morgat¹, Claude Mariottini¹, Yann Diascorn²

¹Department of Cardiology, Arnault Tzanck Institute, Saint-Laurent-du-Var, France.

JACC. Case reports

|March 5, 2026

概括

双室无步调需要小心地放置心房的. 术内成像发现了一个不寻常的静脉,指导成功的植入,恢复心房 (AV) 同步,以缓解症状.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
电子生理学电子生理学

背景情况:

双室无步是先进的心脏技术.
准确的心房位放置对于成功的结果至关重要.
解剖学变异可能会使无心脏起器植入复杂化.

研究的目的:

报告一个患有复杂解剖学的患者双室无心脏起器植入的病例.
为了突显手术内成像在无节拍中的实用性.
为了证明恢复心房 (AV) 同步的好处.

主要方法:

一名66岁的妇女有癌症和放射病史,出现了完整的心房 (AV) 阻塞.
最初,植入了一个单室无心脏起器.
随后添加了心房无心脏起器,并通过手术内血管学指导放置,揭示了铁贝斯静脉.

主要成果:

实现了双室无节奏系统的成功植入.
由于解剖学发现,心房被放置在后侧侧位置.
患者经历了快速的症状改善,并恢复了AV同步.

结论:

术内成像对于在无心脏起器手术过程中识别解剖变异至关重要.
在选择的患者中恢复AV同步可以显著改善症状.
双室无步调为需要复杂步调解决方案的患者提供了可行的选择.

关键词:

心脏起器的心脏起器这是冠状动脉血管异常.没有的无.

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