介入器械植入术，第 I 部分：避免并发症的基本技术：一种实践方法。
Interventional device implantation, Part I: Basic techniques to avoid complications: A hands-on approach.
机构信息
School of Medicine, Georgetown University School of Medicine, Washington, District of Columbia, USA.
Division of Cardiac Electrophysiology, MedStar Heart and Vascular Institute, Washington, District of Columbia, USA.
出版信息
J Cardiovasc Electrophysiol. 2021 Feb;32(2):523-532. doi: 10.1111/jce.14748. Epub 2020 Oct 19.
INTRODUCTION
The essence of cardiac resynchronization therapy (CRT) is biventricular (BiV) pacing, which involves implanting pacing leads in both the right ventricle (RV) and left ventricle (LV). Unlike traditional RV pacing, many hurdles lie ahead of successful LV lead implantation.
METHODS AND RESULTS
In this review, we first highlight the importance of optimizing the patient and the tools. Next, we describe the CRT tools developed over several decades, to facilitate successful implantation. Thereafter, we provide a streamlined step-by-step summary of the basic BiV implantation procedure. Lastly, we discuss some commonly encountered challenges during implantation and the techniques to tackle them.
CONCLUSION
A systematic approach to every step of the implantation process can reduce procedure time, decrease patient exposure to radiation and contrast, and minimize complications. The use of right tools and techniques can enable all implanters to become more successful with BiV implantation.
简介
心脏再同步治疗（CRT）的本质是双心室（BiV）起搏，包括在右心室（RV）和左心室（LV）植入起搏导线。与传统的 RV 起搏不同，成功植入 LV 导线需要克服许多障碍。
方法和结果
在本综述中，我们首先强调了优化患者和工具的重要性。接下来，我们描述了几十年来开发的 CRT 工具，以促进成功植入。然后，我们提供了一个简化的、按步骤总结的基本 BiV 植入程序。最后，我们讨论了植入过程中一些常见的挑战以及解决这些挑战的技术。
结论
系统的方法可以减少植入过程中每个步骤的时间，减少患者暴露于辐射和造影剂的时间，并最大限度地减少并发症。正确的工具和技术的使用可以使所有植入者在 BiV 植入方面更加成功。
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