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心脏植入式电子设备的三维标测——一种可行且有效的替代透视技术。

Three-dimensional mapping in cardiac implantable electronic device - a feasible and effective alternative to fluoroscopy.

机构信息

Department of Cardiology, First Affiliated Hospital of Tsinghua University, Beijing, China.

Department of Cardiology, Guiyang First People's Hospital, Guizhou, China.

出版信息

J Interv Card Electrophysiol. 2023 Apr;66(3):783-792. doi: 10.1007/s10840-022-01297-8. Epub 2022 Jul 9.

DOI:10.1007/s10840-022-01297-8
PMID:35809160
Abstract

BACKGROUND

During the last decade, three-dimensional mapping technology has substantially aided the development of cardiac implanted electronic devices (CIEDs). This article intends to present an outline of the use and benefits of three-dimensional (3D) mapping systems in CIEDs.

RESULT

As an alternative to fluoroscopy, 3D mapping greatly minimizes radiation exposure and eliminates the need for contrast dye during the implantation of CIEDs. Based on the visualization of the pacing lead tip and accurate anatomic reconstruction of the chamber of interest and a specialized mapping technique, 3D mapping technology dramatically improves the efficacy and success of the advanced cardiac implantable devices' placement. Additionally, it provides a superior option for those with complex medical conditions.

CONCLUSION

The use of 3D mapping technology in CIEDs has been proven feasible and effective by accumulating evidence. It is fair to anticipate that it will be widely used in CIED implantation in the future.

摘要

背景

在过去十年中,三维绘图技术极大地促进了心脏植入式电子设备(CIEDs)的发展。本文旨在概述三维(3D)映射系统在 CIEDs 中的使用和益处。

结果

作为透视的替代方法,3D 绘图极大地减少了辐射暴露,并且在植入 CIED 时无需使用对比染料。基于起搏导线尖端的可视化和感兴趣腔室的精确解剖重建以及专门的绘图技术,3D 绘图技术极大地提高了先进心脏植入设备放置的效果和成功率。此外,对于患有复杂疾病的患者,它提供了更好的选择。

结论

通过积累证据,已经证明在 CIED 中使用 3D 绘图技术是可行且有效的。可以合理地预计,它将在未来广泛用于 CIED 植入。

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Electroanatomic Mapping and Intracardiac Echocardiography-Guided Approach for Left-Bundle Branch Area Pacing With Zero Fluoroscopy.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
CJC Open. 2020 Jul 9;2(6):705-707. doi: 10.1016/j.cjco.2020.07.005. eCollection 2020 Nov.
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在电解剖标测引导下对幼儿行希氏束起搏。
Pacing Clin Electrophysiol. 2021 Jan;44(1):199-202. doi: 10.1111/pace.14112. Epub 2020 Nov 8.
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Pacing Clin Electrophysiol. 2020 Oct;43(10):1165-1172. doi: 10.1111/pace.14061. Epub 2020 Sep 22.
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Novel electroanatomical map for permanent his bundle pacing: the Mont Blanc approach - influence of the learning curve and procedural outcome.用于永久性希氏束起搏的新型电解剖标测图:勃朗峰方法——学习曲线和手术结果的影响
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