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房室结消融和希氏束起搏失败后行左束支起搏治疗心房颤动。

Peri-left bundle branch pacing after atrioventricular node ablation and failed his bundle pacing in atrial fibrillation.

作者信息

Tondas Alexander Edo, Pranata Raymond, Hongwei Han

机构信息

Department of Cardiology and Vascular Medicine Mohammad Hoesin General Hospital Palembang Sumatera Selatan Indonesia.

Biomedicine Doctoral Program Faculty of Medicine Universitas Sriwijaya Palembang Indonesia.

出版信息

J Arrhythm. 2020 Jan 8;36(1):203-205. doi: 10.1002/joa3.12299. eCollection 2020 Feb.

DOI:10.1002/joa3.12299
PMID:32071647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7011818/
Abstract

We described a case where peri-left bundle branch pacing (PLBP) may become an alternative approach in difficult His bundle pacing (HBP) following atrioventricular nodal ablation in a patient with atrial fibrillation. After atrioventricular nodal ablation, the HBP lead was removed to another LBB position distal to the first PLBP lead, due to acute threshold increase. At 3 month follow-up, PLBP exhibited acceptable pacing parameters without any adverse event.

摘要

我们描述了一例在心房颤动患者进行房室结消融后，左束支起搏（PLBP）可能成为困难希氏束起搏（HBP）的替代方法的病例。房室结消融后，由于急性阈值升高，HBP导线被移至第一个PLBP导线远端的另一个左束支位置。在3个月的随访中，PLBP表现出可接受的起搏参数，且无任何不良事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ff/7011818/5d46695a53d4/JOA3-36-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ff/7011818/b0fcfce70442/JOA3-36-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ff/7011818/5d46695a53d4/JOA3-36-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ff/7011818/b0fcfce70442/JOA3-36-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ff/7011818/5d46695a53d4/JOA3-36-203-g002.jpg

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J Arrhythm. 2020 Jan 8;36(1):203-205. doi: 10.1002/joa3.12299. eCollection 2020 Feb.
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本文引用的文献

1
A beginner's guide to permanent left bundle branch pacing.永久性左束支起搏初学者指南。
Heart Rhythm. 2019 Dec;16(12):1791-1796. doi: 10.1016/j.hrthm.2019.06.016. Epub 2019 Jun 22.
2
Non-invasive electrocardiographic imaging of His-bundle and peri-left bundle pacing in left bundle branch block.左束支传导阻滞时希氏束及左束支周围起搏的无创心电图成像
Europace. 2019 Jun 1;21(6):837. doi: 10.1093/europace/euy293.
3
Atrioventricular node ablation and His bundle pacing.房室结消融和希氏束起搏。
Europace. 2017 Dec 1;19(suppl_4):iv10-iv16. doi: 10.1093/europace/eux263.
4
A Novel Pacing Strategy With Low and Stable Output: Pacing the Left Bundle Branch Immediately Beyond the Conduction Block.一种具有低且稳定输出的新型起搏策略：在传导阻滞远端立即起搏左束支。
Can J Cardiol. 2017 Dec;33(12):1736.e1-1736.e3. doi: 10.1016/j.cjca.2017.09.013. Epub 2017 Sep 22.
5
How to perform permanent His bundle pacing in routine clinical practice.如何在常规临床实践中进行永久性希氏束起搏。
Heart Rhythm. 2016 Jun;13(6):1362-6. doi: 10.1016/j.hrthm.2016.03.040. Epub 2016 Mar 22.