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经持续左上腔静脉在三尖瓣疾病中进行多部位多极左心室起搏。

Multi-site multi-polar left ventricular pacing through persistent left superior vena cava in tricuspid valve disease.

作者信息

Lau Ernest W

机构信息

Department of Cardiology, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK.

出版信息

Indian Pacing Electrophysiol J. 2017 Sep-Oct;17(5):156-159. doi: 10.1016/j.ipej.2017.05.008. Epub 2017 May 30.

DOI:10.1016/j.ipej.2017.05.008
PMID:29192594
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5652279/
Abstract

Multi-site multi-polar left ventricular pacing through the coronary sinus (CS) may be preferred over endocardial right ventricular or surgical epicardial pacing in the presence of tricuspid valve disease. However, the required lead placement can be difficult through a persistent left superior vena cava (PLSVC), as the CS tends to be hugely dilated and side branches tend to have sharp angulations (>90°) when approached from the PLSVC. Pre-shaped angiography catheters and techniques used for finding venous grafts from the ascending aorta post coronary bypass surgery may help with lead placement in such a situation.

摘要

在存在三尖瓣疾病的情况下，经冠状窦（CS）进行多部位多极左心室起搏可能优于心内膜右心室起搏或外科心外膜起搏。然而，通过持续左上腔静脉（PLSVC）进行所需的导线放置可能很困难，因为当从PLSVC进入时，冠状窦往往会极度扩张，且侧支往往有锐角（>90°）。预塑形血管造影导管以及用于冠状动脉搭桥术后从升主动脉寻找静脉移植物的技术可能有助于在这种情况下进行导线放置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5b/5652279/9ebad8254a88/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5b/5652279/71a6c7299962/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5b/5652279/9ebad8254a88/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5b/5652279/71a6c7299962/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5b/5652279/9ebad8254a88/gr3.jpg

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本文引用的文献

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Cardiac resynchronization therapy in persistent left superior vena cava: Can you do it two-leads-only?持续性左上腔静脉患者的心脏再同步治疗：仅用双导联可行吗？
HeartRhythm Case Rep. 2016 Oct 19;3(1):30-32. doi: 10.1016/j.hrcr.2016.08.004. eCollection 2017 Jan.
2
Tricuspid Valve Dysfunction Following Pacemaker or Cardioverter-Defibrillator Implantation.起搏器或除颤器植入术后三尖瓣功能障碍。
J Am Coll Cardiol. 2017 May 9;69(18):2331-2341. doi: 10.1016/j.jacc.2017.02.055.
3
Additional electrodes on the Quartet™ LV lead provide more programmable pacing options than bipolar and tripolar equivalents.
四极™左心室导线额外的电极提供了比双极和三极同类产品更多的可编程起搏选项。
Europace. 2017 Apr 1;19(4):588-595. doi: 10.1093/europace/euw039.
4
Lead related complications in quadripolar versus bipolar left ventricular leads.四极与双极左心室导线相关并发症
Indian Pacing Electrophysiol J. 2017 Jan-Feb;17(1):3-7. doi: 10.1016/j.ipej.2016.10.008. Epub 2016 Oct 24.
5
A Meta-Analysis Of Quadripolar Versus Bipolar Left Ventricular Leads On Post-Procedural Outcomes.四极与双极左心室导线对术后结局影响的Meta分析
J Atr Fibrillation. 2016 Aug 31;9(2):1472. doi: 10.4022/jafib.1472. eCollection 2016 Aug-Sep.
6
Radial Multi-Site, Longitudinal Multi-Polar Epicardial Left Ventricular Pacing In Tricuspid Valve Disease.三尖瓣疾病中的径向多部位、纵向多极心外膜左心室起搏
Ulster Med J. 2016 Sep;85(3):193-195.
7
New left ventricular active fixation lead: The experience of lead extraction.新型左心室主动固定导线：导线拔除经验
Indian Heart J. 2015 Dec;67 Suppl 3(Suppl 3):S97-9. doi: 10.1016/j.ihj.2015.10.379. Epub 2015 Dec 18.
8
Tricuspid Regurgitation and Mortality in Patients With Transvenous Permanent Pacemaker Leads.经静脉植入永久性起搏器导线患者的三尖瓣反流与死亡率
Am J Cardiol. 2016 Mar 15;117(6):988-92. doi: 10.1016/j.amjcard.2015.12.038. Epub 2016 Jan 6.
9
The novel active fixation coronary sinus lead: efficacy and safety of transvenous extraction procedure.新型主动固定冠状静脉窦电极导线：经静脉拔除术的有效性和安全性
Europace. 2016 Feb;18(2):301-3. doi: 10.1093/europace/euv227. Epub 2015 Oct 14.
10
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。
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