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经左锁骨下静脉途径进行心内膜左心室导联置入。

Endocardial left ventricular lead placement from the left subclavian vein approach.

作者信息

Calvo Naiara, Arguedas Hugo, Canepa Juan Pablo, García-Bolao Ignacio

机构信息

Arrhythmia Unit, Department of Cardiology and Cardiac Surgery, University Clinic of Navarra and School of Medicine, University of Navarra, Av Pio XII, 36, 31008 Pamplona, Spain.

Arrhythmia Unit, Department of Cardiology and Cardiac Surgery, University Clinic of Navarra and School of Medicine, University of Navarra, Av Pio XII, 36, 31008 Pamplona, Spain

出版信息

Europace. 2014 Dec;16(12):1857-9. doi: 10.1093/europace/euu123. Epub 2014 Aug 14.

Abstract

AIMS

In up to 10-15% of cases, the traditional epicardial approach for left ventricular (LV) lead placement is not feasible and surgical implantation is considered the alternative. We present the implantation of a transseptal LV lead through a left subclavian access.

METHODS AND RESULTS

Through the left subclavian vein access and using a system which includes a guiding catheter, a puncture screw catheter and a puncture stylet, access to the LV was achieved and the LV stimulation lead was successfully implanted.

CONCLUSION

We describe the implantation of a transseptal LV stimulation lead through a left subclavian access.

摘要

目的

在高达10% - 15%的病例中,传统的经心外膜途径放置左心室(LV)导线不可行,手术植入被视为替代方法。我们介绍了一种经左锁骨下途径植入经间隔左心室导线的方法。

方法与结果

通过左锁骨下静脉途径,使用包括引导导管、穿刺螺旋导管和穿刺针芯的系统,成功进入左心室并成功植入左心室刺激导线。

结论

我们描述了一种经左锁骨下途径植入经间隔左心室刺激导线的方法。

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Endocardial left ventricular lead placement from the left subclavian vein approach.
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