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Fontan手术后永久性经静脉起搏导线置入的新型直接方法。

Novel direct approach for placement of permanent transvenous pacing leads after Fontan procedure.

作者信息

Randall Jess T, Aldoss Osamah T, Law Ian H, Divekar Abhay A

机构信息

Department of Pediatrics, Division of Pediatric Cardiology, University of Iowa Children's Hospital, Iowa City, IA, USA.

Ward Family Heart Center, Childrens Mercy Kansas City, Kansas City, MO, USA.

出版信息

Ann Pediatr Cardiol. 2018 May-Aug;11(2):187-190. doi: 10.4103/apc.APC_157_17.

DOI:10.4103/apc.APC_157_17
PMID:29922016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5963233/
Abstract

The need for transvenous pacing (patients who have exhausted epicardial options) after a Fontan-type operation has been recognized. Many novel strategies have been proposed, but currently, all of them require additional maneuvers or rerouting of the leads to the pacemaker pocket. In this report, we describe a novel direct approach to transvenous pacing after a Fontan-type operation from a standard, prepectoral approach.

摘要

人们已经认识到在进行Fontan类手术后对经静脉起搏（即那些已经用尽心外膜起搏选项的患者）的需求。已经提出了许多新颖的策略，但目前，所有这些策略都需要额外的操作或重新将导线连接到起搏器囊袋。在本报告中，我们描述了一种从标准的胸前区入路对Fontan类手术后进行经静脉起搏的新颖直接方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/477d4d433980/APC-11-187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/68bf2d6500c2/APC-11-187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/b77943250f90/APC-11-187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/86ac1b7b828b/APC-11-187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/477d4d433980/APC-11-187-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/68bf2d6500c2/APC-11-187-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/b77943250f90/APC-11-187-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/86ac1b7b828b/APC-11-187-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd7/5963233/477d4d433980/APC-11-187-g004.jpg

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引用本文的文献

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Indian Pacing Electrophysiol J. 2019 Jan-Feb;19(1):15-22. doi: 10.1016/j.ipej.2018.11.013. Epub 2018 Nov 30.

本文引用的文献

1
Trans-Fontan baffle placement of an endocardial systemic ventricular pacing lead.心内膜系统心室起搏导线的经Fontan分流板放置
HeartRhythm Case Rep. 2016 Dec 21;3(2):129-132. doi: 10.1016/j.hrcr.2016.10.002. eCollection 2017 Feb.
2
Transvenous approach to pacemaker lead implantation for sinus node dysfunction after extracardiac lateral tunnel Fontan conduit placement.经静脉途径植入起搏器导线用于心外膜侧隧道Fontan管道置入术后的窦房结功能障碍。
HeartRhythm Case Rep. 2016 Sep 14;2(6):495-498. doi: 10.1016/j.hrcr.2016.07.006. eCollection 2016 Nov.
3
ALternate Site Cardiac ResYNChronization (ALSYNC): a prospective and multicentre study of left ventricular endocardial pacing for cardiac resynchronization therapy.
辅助心腔同步起搏（ALSYNC）：左心室心内膜起搏用于心脏再同步治疗的前瞻性多中心研究。
Eur Heart J. 2016 Jul 14;37(27):2118-27. doi: 10.1093/eurheartj/ehv723. Epub 2016 Jan 18.
4
Permanent trans-venous pacing in an extra-cardiac Fontan circulation.心外Fontan循环中的永久性经静脉起搏
Europace. 2016 Feb;18(2):304-7. doi: 10.1093/europace/euv110. Epub 2015 May 19.
5
Transpulmonary atrial pacing: an approach to transvenous pacemaker implantation after extracardiac conduit Fontan surgery.经肺心房起搏：心外管道Fontan手术后经静脉起搏器植入的一种方法。
J Cardiovasc Electrophysiol. 2014 Sep;25(9):1028-1031. doi: 10.1111/jce.12447. Epub 2014 Jun 6.
6
Is the extracardiac conduit the preferred Fontan approach for patients with univentricular hearts? The extracardiac conduit is not the preferred Fontan approach for patients with univentricular hearts.心外管道是单心室心脏患者首选的Fontan手术方式吗？心外管道并非单心室心脏患者首选的Fontan手术方式。
Circulation. 2012 Nov 20;126(21):2516-25; discussion 2525. doi: 10.1161/CIRCULATIONAHA.111.075036.
7
Percutaneous transcatheter communication between the pulmonary artery and atrium following an extra-cardiac Fontan: an alternative approach to fenestration avoiding conduit perforation.心外Fontan术后经皮肺动脉与心房之间的导管交通：一种避免管道穿孔的开窗替代方法。
Catheter Cardiovasc Interv. 2008 Jun 1;71(7):936-9. doi: 10.1002/ccd.21453.
8
Long-term transvenous AV-sequential pacing in a failing atriopulmonary Fontan patient.在一名衰竭的心房肺分流型Fontan患者中进行长期经静脉房室顺序起搏。
Int J Cardiol. 2008 Jul 4;127(2):e93-5. doi: 10.1016/j.ijcard.2007.04.085. Epub 2007 Aug 31.
9
Transvenous pacing leads and systemic thromboemboli in patients with intracardiac shunts: a multicenter study.心内分流患者经静脉起搏导线与系统性血栓栓塞：一项多中心研究
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Endocardial atrial pacing lead implantation and midterm follow-up in young patients with sinus node dysfunction after the fontan procedure.在Fontan手术后患有窦房结功能障碍的年轻患者中进行心内膜心房起搏导线植入及中期随访。
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