3D计算机断层扫描整合引导永久性Aveir无导线起搏器植入：一例报告。
3D computed tomography integration guiding permanent Aveir AR leadless pacemaker implantation: a case report.
作者信息
Magdy Mohamed, Botros Maichel, Mostafa Mohammed, Gharbi Maro, Alnooryani Arif
机构信息
AL Qassimi Hospital, Emirates Health Services (EHS), Wasit Street-Al khazamiya, Sharjah 3500, United Arab Emirates.
Critical Care Department, Lecturer at Cairo University Hospital, 71 El Kasr El Aini, Cairo 11562, Egypt.
出版信息
Eur Heart J Case Rep. 2024 Dec 23;9(1):ytae685. doi: 10.1093/ehjcr/ytae685. eCollection 2025 Jan.
BACKGROUND
The use of single-chamber, right ventricular (RV) leadless pacemakers (LPs) has been well established, the introduction of a right atrial LPs has opened the door for dual-chamber leadless pacing. Cardiac computed tomography (CT) segmentation integration might provide proper visual guide during the procedure.
CASE SUMMARY
A 58-year-old male patient was brought to the emergency department with dizziness and complete heart block. The patient underwent single-chamber permanent LP implantation. During the upgrade to a dual-chamber LP, 3D CT image fusion with fluoroscopy was utilized to accurately identify the ideal and safe implantation site for the device.
DISCUSSION
Integrating CT image guidance with fluoroscopy could enhance procedure safety, success rates, and reduces fluoroscopy time.
背景
单腔右心室无导线起搏器（LPs）的应用已得到充分确立，右心房无导线起搏器的引入为双腔无导线起搏打开了大门。心脏计算机断层扫描（CT）分割整合可能在手术过程中提供合适的视觉引导。
病例摘要
一名58岁男性患者因头晕和完全性心脏传导阻滞被送往急诊科。该患者接受了单腔永久性无导线起搏器植入。在升级为双腔无导线起搏器的过程中，利用三维CT图像与荧光透视融合来准确识别该装置的理想和安全植入部位。
讨论
将CT图像引导与荧光透视相结合可提高手术安全性、成功率并减少透视时间。
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