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复杂的植入物需要的是工具和技术,而非小贴士和窍门。

Challenging Implants Require Tools and Techniques Not Tips and Tricks.

作者信息

Worley Seth J

机构信息

Cardiac Electrophysiology Division, Medstar Heart and Vascular Institute, 110 Irving Street Northwest, Suite 5A-12, Washington, DC 20010, USA.

出版信息

Card Electrophysiol Clin. 2019 Mar;11(1):75-87. doi: 10.1016/j.ccep.2018.11.003.

DOI:10.1016/j.ccep.2018.11.003
PMID:30717855
Abstract

The EP Clinics article "How to implant CRT devices in a busy clinical practice" describes the basics of the "interventional telescoping technique". This article focuses on specific circumstances where the tools and techniques are invaluable: (1) inability to locate the coronary sinus (CS), (2) inability to advance a catheter into the CS, (3) patients with CS atresia, (4) unstable CS access, (4) angulated target veins, (5) small and/or tortuous target veins, (6) target veins into which a wire cannot be advanced, (7) target veins with a drain pipe takeoff, (8) target veins close to the CS ostium.

摘要

《电生理诊所》的文章《如何在繁忙的临床实践中植入心脏再同步化治疗(CRT)设备》描述了“介入性套叠技术”的基本原理。本文重点关注该工具和技术具有重要价值的特定情况:(1)无法找到冠状静脉窦(CS),(2)无法将导管推进到CS中,(3)患有CS闭锁的患者,(4)CS通路不稳定,(4)目标静脉成角,(5)目标静脉细小和/或迂曲,(6)导丝无法推进到其中的目标静脉,(7)有引流管分支的目标静脉,(8)靠近CS口的目标静脉。

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