在一名伴有严重房室扩张和三尖瓣反流的患者中，使用引导鞘管辅助进行右心室导线植入。
Right ventricular lead implantation facilitated by a guiding sheath in a patient with severe chamber dilatation with tricuspid regurgitation.
作者信息
Lim Phang Boon, Lefroy David C
机构信息
Department of Cardiac Electrophysiology, Imperial College Healthcare NHS Trust, Cardiology Department, St Mary's Hospital, Pread Street, London W2 1NY.
出版信息
Indian Pacing Electrophysiol J. 2011 Sep;11(5):156-8. Epub 2011 Oct 2.
Abstract
Implantation of pacemakers can be challenging in the context of dilated cardiac chambers and valvular regurgitation. We report a difficult case of single chamber pacemaker implantation in a patient with restrictrive cardiomyopathy resulting in grossly enlarged atria and severe tricuspid regurgitation. In this situation, use of a slittable guiding sheath, more typically used for coronary sinus lead implantation, greatly facilitated rapid and stable deployment of the right ventricular lead.
摘要
在心脏腔室扩张和瓣膜反流的情况下，植入起搏器可能具有挑战性。我们报告了一例在患有限制性心肌病、导致心房明显扩大和严重三尖瓣反流的患者中植入单腔起搏器的困难病例。在这种情况下，使用通常更常用于冠状窦导联植入的可切开引导鞘，极大地促进了右心室导联的快速稳定植入。
相似文献
1
Right ventricular lead implantation facilitated by a guiding sheath in a patient with severe chamber dilatation with tricuspid regurgitation.在一名伴有严重房室扩张和三尖瓣反流的患者中，使用引导鞘管辅助进行右心室导线植入。
Indian Pacing Electrophysiol J. 2011 Sep;11(5):156-8. Epub 2011 Oct 2.
2
Utility of a Leadless Pacemaker as a Backup to Left Ventricle-only Pacing in a Patient with Prior Device-related Severe Tricuspid Regurgitation.无导线起搏器作为既往器械相关严重三尖瓣反流患者单纯左心室起搏备用方案的效用
J Innov Card Rhythm Manag. 2019 Jul 15;10(7):3733-3736. doi: 10.19102/icrm.2019.100706. eCollection 2019 Jul.
3
Impact of Leadless Pacemaker Therapy on Cardiac and Atrioventricular Valve Function Through 12 Months of Follow-Up.无导线起搏器治疗对心脏和房室瓣功能的影响：12 个月随访结果。
Circ Arrhythm Electrophysiol. 2019 May;12(5):e007124. doi: 10.1161/CIRCEP.118.007124.
4
Use of a coronary sinus guiding sheath for placement of right ventricular lead in abnormal venous anatomy: a report of 2 cases.使用冠状静脉窦引导鞘在异常静脉解剖结构中放置右心室导线：2例报告
BMJ Case Rep. 2012 Nov 15;2012:bcr2012007687. doi: 10.1136/bcr-2012-007687.
5
Right ventricular and tricuspid valve function in patients with two ventricular pacemaker leads.双心室起搏器导线患者的右心室和三尖瓣功能
Jpn Heart J. 2004 Jan;45(1):103-8. doi: 10.1536/jhj.45.103.
6
Induction and aggravation of atrioventricular valve regurgitation in the course of chronic right ventricular apical pacing.在慢性右心室心尖起搏过程中诱导和加重房室瓣反流。
Europace. 2011 Nov;13(11):1587-90. doi: 10.1093/europace/eur198. Epub 2011 Jul 8.
7
Severe tricuspid regurgitation secondary to dislodgement of the atrial loop into the right ventricle: an unusual complication of pacemaker implantation in a young adult.继发于心房环移位至右心室的严重三尖瓣反流：一名年轻成人起搏器植入术后的罕见并发症。
Acta Cardiol. 2012 Apr;67(2):235-8. doi: 10.1080/ac.67.2.2154215.
8
Effects of pacemaker and implantable cardioverter defibrillator electrodes on tricuspid regurgitation and right sided heart functions.起搏器和植入式心脏复律除颤器电极对三尖瓣反流及右心功能的影响。
Cardiol J. 2015;22(6):637-44. doi: 10.5603/CJ.a2015.0060. Epub 2015 Sep 28.
9
Effects of dual-chamber pacing with short atrioventricular delay in dilated cardiomyopathy.
Lancet. 1992 Nov 28;340(8831):1308-12. doi: 10.1016/0140-6736(92)92492-x.
10
Discordance in degree of right and left ventricular dilation in patients with dilated cardiomyopathy: recognition and clinical implications.扩张型心肌病患者左右心室扩张程度的不一致：识别与临床意义
J Am Coll Cardiol. 1993 Mar 1;21(3):649-54. doi: 10.1016/0735-1097(93)90097-k.
引用本文的文献
1
Use of a coronary sinus guiding sheath for placement of right ventricular lead in abnormal venous anatomy: a report of 2 cases.使用冠状静脉窦引导鞘在异常静脉解剖结构中放置右心室导线：2例报告
BMJ Case Rep. 2012 Nov 15;2012:bcr2012007687. doi: 10.1136/bcr-2012-007687.
本文引用的文献
1
Selective-site pacing in paediatric patients: a new application of the Select Secure system.小儿患者的选择性部位起搏：Select Secure系统的一种新应用。
Europace. 2009 May;11(5):601-6. doi: 10.1093/europace/eup058. Epub 2009 Mar 5.
2
Current of injury predicts acute performance of catheter-delivered active fixation pacing leads.损伤电流可预测导管输送的主动固定起搏导线的急性性能。
Pacing Clin Electrophysiol. 2007 Dec;30(12):1438-44. doi: 10.1111/j.1540-8159.2007.00889.x.
3
The right ventricular outflow tract: the road to septal pacing.右心室流出道：间隔起搏之路。
Pacing Clin Electrophysiol. 2007 Apr;30(4):482-91. doi: 10.1111/j.1540-8159.2007.00697.x.
4
Current of injury predicts adequate active lead fixation in permanent pacemaker/defibrillation leads.
J Am Coll Cardiol. 2005 Feb 1;45(3):412-7. doi: 10.1016/j.jacc.2004.10.045.
5
Cardiac resynchronization in chronic heart failure.慢性心力衰竭中的心脏再同步化
N Engl J Med. 2002 Jun 13;346(24):1845-53. doi: 10.1056/NEJMoa013168.
6
The challenge of endocardial right ventricular pacing in patients with a tricuspid annuloplasty ring and severe tricuspid regurgitation.三尖瓣瓣环成形环和严重三尖瓣反流患者的右心室心内膜起搏挑战。
Pacing Clin Electrophysiol. 2002 Feb;25(2):201-5. doi: 10.1046/j.1460-9592.2002.00201.x.
7
Permanent pacing in patients with tricuspid valve replacements.三尖瓣置换患者的永久性起搏
Br Heart J. 1995 Feb;73(2):169-72. doi: 10.1136/hrt.73.2.169.
8
Special considerations in ventricular pacing in patients with tricuspid valve disease.
Ann Thorac Surg. 1983 Jul;36(1):89-92. doi: 10.1016/s0003-4975(10)60657-1.
Zotero 插件