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通过左束支区域起搏对一名永存左上腔静脉患者进行右侧心脏再同步治疗

Right-sided Cardiac Resynchronization Therapy via Left Bundle Branch Area Pacing in a Patient with Persistent Left Superior Vena Cava.

作者信息

Menemencioglu Can, Canpolat Uğur

机构信息

Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

出版信息

J Innov Card Rhythm Manag. 2025 May 15;16(5):6278-6283. doi: 10.19102/icrm.2025.16054. eCollection 2025 May.

DOI:10.19102/icrm.2025.16054
PMID:40487471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12140132/
Abstract

Cardiac resynchronization therapy (CRT) via left bundle branch area pacing (LBBAP) has emerged as effective and safe as conventional CRT. Left-sided CRT implantation in patients with persistent left superior vena cava (PLSVC) is challenging and impossible in some patients. Right-sided CRT implantation, either conventional or LBBAP, is also tricky, as the delivery sheaths are feasible for left-sided implantations. Here, we present a patient with PLSVC who underwent successful right-sided CRT implantation via LBBAP.

摘要

通过左束支区域起搏（LBBAP）进行的心脏再同步治疗（CRT）已被证明与传统CRT一样有效且安全。对于存在永存左上腔静脉（PLSVC）的患者，进行左侧CRT植入具有挑战性，在某些患者中甚至无法进行。右侧CRT植入，无论是传统方式还是LBBAP，也都很棘手，因为输送鞘管更适用于左侧植入。在此，我们介绍一位患有PLSVC的患者，该患者通过LBBAP成功进行了右侧CRT植入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/2f5bbd5dfeb2/icrm-16-6278-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/4f534b4e43db/icrm-16-6278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/4312439ecc91/icrm-16-6278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/f0c67037f328/icrm-16-6278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/2f5bbd5dfeb2/icrm-16-6278-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/4f534b4e43db/icrm-16-6278-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/4312439ecc91/icrm-16-6278-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/f0c67037f328/icrm-16-6278-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8a9/12140132/2f5bbd5dfeb2/icrm-16-6278-g004.jpg

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本文引用的文献

1
Left bundle branch area pacing via persistent superior vena cava: A case report.经永存上腔静脉行左束支区域起搏：一例报告。
HeartRhythm Case Rep. 2024 Jun 3;10(8):586-590. doi: 10.1016/j.hrcr.2024.05.019. eCollection 2024 Aug.
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Global epidemiology of heart failure.心力衰竭的全球流行病学。
Nat Rev Cardiol. 2024 Oct;21(10):717-734. doi: 10.1038/s41569-024-01046-6. Epub 2024 Jun 26.
3
Right-sided implantation with left-sided connection of a left bundle branch area pacing lead.左束支区域起搏导线右侧植入并左侧连接。
J Interv Card Electrophysiol. 2024 Oct;67(7):1499-1500. doi: 10.1007/s10840-024-01802-1. Epub 2024 Apr 8.
4
Predictors of improvement in left ventricular systolic function after catheter ablation in patients with persistent atrial fibrillation complicated with heart failure.持续性心房颤动合并心力衰竭患者导管消融后左心室收缩功能改善的预测因素。
BMC Cardiovasc Disord. 2024 Mar 23;24(1):178. doi: 10.1186/s12872-024-03840-z.
5
Challenges and pitfalls during CRT implantation in patients with persistent left superior vena cava.持续性左上腔静脉患者行 CRT 植入术中的挑战和陷阱。
J Interv Card Electrophysiol. 2024 Oct;67(7):1505-1516. doi: 10.1007/s10840-024-01761-7. Epub 2024 Feb 12.
6
Left Bundle Branch Conductive System Pacing Via Left Brachiocephalic Vein in a Patient With Persistent Left Sided Superior Vena Cava.一名永存左侧上腔静脉患者经左头臂静脉行左束支传导系统起搏
Heart Lung Circ. 2024 Feb;33(2):e5-e7. doi: 10.1016/j.hlc.2023.12.009. Epub 2024 Jan 8.
7
Right-sided approach for left bundle branch area pacing is feasible and successful.经右侧途径进行左束支区域起搏是可行且成功的。
Heart Rhythm. 2024 Mar;21(3):352-354. doi: 10.1016/j.hrthm.2023.11.013. Epub 2023 Nov 17.
8
Right sided approach for left bundle branch pacing using lumen-less lead: Technical considerations and follow-up outcome.经心内膜左束支起搏的右侧入路：技术要点和随访结果。
J Cardiovasc Electrophysiol. 2023 Dec;34(12):2613-2616. doi: 10.1111/jce.16126. Epub 2023 Nov 14.
9
Right versus left-sided implantation of left bundle branch area pacemaker insertion.左束支区域起搏器植入的右侧与左侧植入对比
J Interv Card Electrophysiol. 2024 Mar;67(2):257-258. doi: 10.1007/s10840-023-01649-y. Epub 2023 Sep 21.
10
CRT-D or CRT-P?: the endless debate!心脏再同步化治疗除颤器还是心脏再同步化治疗起搏器？这场无休止的争论！
Europace. 2023 Oct 5;25(10). doi: 10.1093/europace/euad285.