[1]刘新民 宋光远 吴永健.左心室导丝起搏技术在经导管主动脉瓣置换术中的应用[J].心血管病学进展,2021,(4):289-291.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.001]
　LIU Xinmin,SONG Guangyuan,WU Yongjian.Application of Left Ventricular Guidewire Pacing in Transcatheter Aortic Valve Replacement[J].Advances in Cardiovascular Diseases,2021,(4):289-291.[doi:10.16806/j.cnki.issn.1004-3934.2021.04.001]
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左心室导丝起搏技术在经导管主动脉瓣置换术中的应用()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年4期
页码:
289-291
栏目:
综述
出版日期:
2021-04-25

文章信息/Info

Title:
Application of Left Ventricular Guidewire Pacing in Transcatheter Aortic Valve Replacement
作者:
刘新民1 宋光远 2 吴永健 2
(1.国家心血管疾病临床医学研究中心 首都医科大学附属北京安贞医院,北京100029;2.中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院,北京 100037)
Author(s):
LIU Xinmin1; SONG Guangyuan2; WU Yongjian2
(National Clinical Research Center of Cardiovascular DiseasesCapital Medical UniversityBeijing Anzhen HospitalBeijing 100029China2. Chinese Academy of Medical Sciences and Peking Union Medical College National Center for Cardiovascular DiseaseFuwai HospitalBeijing 100037China)
关键词:
心脏瓣膜假体植入; 左心室导丝起搏技术; 经导管主动脉瓣置换术
Keywords:
Heart valve prosthesis implantation;  Left ventricular guidewire pacing; Transcatheter aortic valve replacement
DOI:
10.16806/j.cnki.issn.1004-3934.2021.04.001
摘要:
传统上，在进行经导管主动脉瓣置换术时，通常经外周静脉将临时起搏导线置入右心室，以满足术中起搏需要。术后常规留置临时起搏导线24 h，以应对可能出现的传导阻滞和心动过缓。该方法不仅增加手术时间，而且有穿刺部位并发症以及右心室穿孔的风险。近年来，国外很多中心采用左心室导丝起搏技术替代传统的临时起搏，现对左心室导丝起搏技术做一综述。
Abstract:
Rapid ventricular pacing is necessary to ensure cardiac standstill during transcatheter aortic valve replacement (TAVR). This is typically achieved using a transvenous temporary pacing lead,advanced to the right ventricular apex,usually under fluoroscopy. One meta-analysis found a 2% complication rate of lung or myocardial puncture during the procedure. A technique of rapid ventricular pacing through the left ventricular guidewire during TAVR was previously developed to obviate the need for a temporary pacing lead.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目;中国医学科学院医学与健康科技创新工程（2017-12M-3-002）
通信作者;吴永健，E-mail:yongjianwu_nccl@163.com
收稿日期：2020-04-01
更新日期/Last Update: 2021-07-01