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零透视下基于电解剖标测和心腔内超声心动图引导的左束支区域起搏方法

Electroanatomic Mapping and Intracardiac Echocardiography-Guided Approach for Left-Bundle Branch Area Pacing With Zero Fluoroscopy.

作者信息

Molina-Lerma Manuel, Tercedor-Sánchez Luis, Álvarez Miguel

机构信息

Arrhythmia Unit, Hospital Universitario Virgen de las Nieves, Granada, Spain.

Instituto de Investigación Biosanitaria, ibs.GRANADA, Granada, Spain.

出版信息

CJC Open. 2020 Jul 9;2(6):705-707. doi: 10.1016/j.cjco.2020.07.005. eCollection 2020 Nov.

DOI:10.1016/j.cjco.2020.07.005
PMID:33305233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7711005/
Abstract

An 81-year-old man with second-degree atrioventricular block was admitted to our centre for pacemaker implantation. Electroanatomic mapping and intracardiac echocardiography-guided left-bundle branch area pacing was performed, entirely without fluoroscopy. It is the first report to describe intracardiac echocardiography for guiding sheath movements into the heart. In conclusion, the combined use of intracardiac echocardiography and intracardiac navigation system allows us to perform left-bundle branch pacing without fluoroscopy.

摘要

一名患有二度房室传导阻滞的81岁男性因起搏器植入入住我们中心。在完全不使用荧光透视的情况下进行了电解剖标测和心腔内超声心动图引导下的左束支区域起搏。这是首篇描述使用心腔内超声心动图引导鞘管进入心脏的报告。总之，心腔内超声心动图和心腔内导航系统的联合使用使我们能够在不使用荧光透视的情况下进行左束支起搏。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ba/7711005/be7bbfcbcf47/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ba/7711005/be7bbfcbcf47/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ba/7711005/be7bbfcbcf47/gr1.jpg

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Is it feasible to perform permanent left bundle branch area pacing, guided only by an electroanatomical mapping system? Proposal of a zero-fluoroscopy approach.

本文引用的文献

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Left Bundle Branch Pacing for Cardiac Resynchronization Therapy: Nonrandomized On-Treatment Comparison With His Bundle Pacing and Biventricular Pacing.用于心脏再同步治疗的左束支起搏：与希氏束起搏和双心室起搏的非随机治疗中比较
Can J Cardiol. 2021 Feb;37(2):319-328. doi: 10.1016/j.cjca.2020.04.037. Epub 2020 May 7.
2
Electrogram-only guided approach to His bundle pacing with minimal fluoroscopy: A single-center experience.仅用电信号引导的希氏束起搏方法，最小程度使用 X 射线透视：单中心经验。
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Left bundle branch pacing utilizing three dimensional mapping.
仅在电解剖标测系统引导下进行永久性左束支区域起搏是否可行？一种零透视方法的建议。
HeartRhythm Case Rep. 2022 Jan 1;8(4):233-237. doi: 10.1016/j.hrcr.2021.12.019. eCollection 2022 Apr.
4
Zero fluoroscopy atrioventricular node ablation and left bundle branch pacing guided by electroanatomic tridimensional mapping system.在电解剖三维标测系统引导下零透视房室结消融及左束支起搏
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左束支起搏的三维标测应用。
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4
Implantation of a dual-chamber permanent pacemaker in a pregnant patient guided by intracardiac echocardiography and electroanatomic mapping.在心脏内超声心动图和电解剖标测引导下为一名孕妇植入双腔永久性起搏器。
HeartRhythm Case Rep. 2017 Sep 29;3(11):542-545. doi: 10.1016/j.hrcr.2017.09.003. eCollection 2017 Nov.
5
Fine structure of the His bundle.
Circulation. 1971 Jul;44(1):9-28. doi: 10.1161/01.cir.44.1.9.