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希氏束起搏:我的经验、技巧和心得。

His Bundle Pacing: My Experience, Tricks, and Tips.

机构信息

Arrhythmia and Electrophysiology Unit, Division of Cardiology, Department of Specialistic Medicine, Santa Maria Della Misericordia General Hospital, Viale Tre Martiri 177, 45100 Rovigo, Italy.

Arrhythmia and Electrophysiology Unit, Division of Cardiology, Department of Specialistic Medicine, Santa Maria Della Misericordia General Hospital, Viale Tre Martiri 177, 45100 Rovigo, Italy. Electronic address: https://twitter.com/@LinaMarcantoni.

出版信息

Card Electrophysiol Clin. 2022 Jun;14(2):141-149. doi: 10.1016/j.ccep.2021.12.016.

Abstract

His Bundle Pacing (HBP) is a form of physiologic pacing achieved through implantation of a pacing electrode into the His bundle. HBP began 20 years ago without any dedicated tools. As specific tools became available HBP quickly spread and proved to be a viable alternative to traditional right ventricle pacing. HBP is reliable and effective in preserving the physiologic ventricular synchrony with clinical benefits particularly evident when a high percentage of pacing is required. Unipolar signals from the lead tip guide the implant. 3D electroanatomical mapping could further assist the procedure.

摘要

他束起搏(HBP)是一种通过将起搏电极植入希氏束实现的生理性起搏形式。HBP 始于 20 年前,当时没有专门的工具。随着特定工具的出现,HBP 迅速传播,并被证明是传统右心室起搏的可行替代方案。HBP 可靠且有效,可维持生理性心室同步,当需要高比例起搏时,临床获益尤为明显。导线尖端的单极信号引导植入。三维电解剖标测可进一步辅助该手术。

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