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机器人辅助左心室导线置入术

Robotic-Assisted Left Ventricular Lead Placement.

作者信息

Bhatt Advay G, Steinberg Jonathan S

机构信息

Arrhythmia Institute, The Valley Health System, 223 North Van Dien Avenue, Ridgewood, NJ 07450, USA.

Arrhythmia Institute, The Valley Health System, 223 North Van Dien Avenue, Ridgewood, NJ 07450, USA; University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

出版信息

Card Electrophysiol Clin. 2015 Dec;7(4):649-59. doi: 10.1016/j.ccep.2015.08.014.

DOI:10.1016/j.ccep.2015.08.014
PMID:26596809
Abstract

Robot-assisted left ventricular lead implantation for cardiac resynchronization therapy is a feasible and safe technique with superior visualization, dexterity, and precision to target the optimal pacing site. The technique has been associated with clinical response and beneficial reverse remodeling comparable with the conventional approach via the coronary sinus. The lack of clinical superiority and a residual high nonresponder rate suggest that the appropriate clinical role for the technique remains as rescue therapy.

摘要

机器人辅助左心室导线植入用于心脏再同步治疗是一种可行且安全的技术,在可视化、灵活性和精准度方面更具优势,能够精准定位最佳起搏部位。该技术与临床反应以及有益的逆向重构相关,与经冠状窦的传统方法相当。缺乏临床优势以及仍存在较高的无反应率表明,该技术合适的临床角色仍是挽救治疗。

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Robotic-Assisted Left Ventricular Lead Placement.机器人辅助左心室导线置入术
Card Electrophysiol Clin. 2015 Dec;7(4):649-59. doi: 10.1016/j.ccep.2015.08.014.
2
Robotic-Assisted Left Ventricular Lead Placement.机器人辅助左心室导线植入
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Coronary Sinus Lead Positioning.
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Right ventricular septal pacing as alternative for failed left ventricular lead implantation in cardiac resynchronization therapy candidates.右室间隔部起搏作为心脏再同步治疗候选者中左心室起搏导线植入失败的替代方法。
Europace. 2015 Jan;17(1):94-100. doi: 10.1093/europace/euu259. Epub 2014 Oct 30.
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Long-term outcome of leads and patients following robotic epicardial left ventricular lead placement for cardiac resynchronization therapy.心脏再同步治疗中机器人心外膜左心室电极植入后电极及患者的长期预后
Pacing Clin Electrophysiol. 2011 Feb;34(2):235-40. doi: 10.1111/j.1540-8159.2010.02943.x. Epub 2010 Oct 28.
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Comparison of the efficacy of two surgical alternatives for cardiac resynchronization therapy: trans-apical versus epicardial left ventricular pacing.心脏再同步治疗两种手术方式疗效的比较:经心尖与心外膜左心室起搏。
Pacing Clin Electrophysiol. 2012 Feb;35(2):124-30. doi: 10.1111/j.1540-8159.2011.03239.x. Epub 2011 Oct 20.
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Electrical delay in apically positioned left ventricular leads and clinical outcome after cardiac resynchronization therapy.心尖部左心室起搏导线的电延迟与心脏再同步治疗后的临床转归。
J Cardiovasc Electrophysiol. 2013 Feb;24(2):182-7. doi: 10.1111/j.1540-8167.2012.02428.x. Epub 2012 Sep 11.
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Robotic left ventricular epicardial lead positioning.机器人辅助左心室心外膜导线定位
Multimed Man Cardiothorac Surg. 2015 Jan 5;2015:mmu028. doi: 10.1093/mmcts/mmu028. Print 2015.
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Comparison of endovascular versus epicardial lead placement for resynchronization therapy.经导管与心外膜导线放置在心脏再同步治疗中的比较。
Am J Cardiol. 2014 Mar 1;113(5):840-4. doi: 10.1016/j.amjcard.2013.11.040. Epub 2013 Dec 12.
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Benefits of a quadripolar left ventricular lead in patients undergoing cardiac resynchronization therapy with underlying myocardial scar.四极左心室导线在伴有潜在心肌瘢痕的心脏再同步治疗患者中的益处。
Pacing Clin Electrophysiol. 2013 Feb;36(2):e45-7. doi: 10.1111/j.1540-8159.2011.03065.x. Epub 2011 Mar 31.

引用本文的文献

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Obstacles preventing biventricular pacing mitigated with lead extraction and His bundle pacing to achieve effective cardiac resynchronization.通过导线拔除和希氏束起搏减轻双心室起搏的障碍,以实现有效的心脏再同步化。
HeartRhythm Case Rep. 2017 Aug 31;3(11):531-535. doi: 10.1016/j.hrcr.2017.07.016. eCollection 2017 Nov.