[1]王秀秀 谭焜月 熊峰.左束支起搏的最新进展[J].心血管病学进展,2021,(10):912.[doi:10.16806/j.cnki.issn.1004-3934.2021.10.012]
　WANG Xiuxiu,TAN Kunyue,XIONG Feng.Left Bundle Branch Pacing[J].Advances in Cardiovascular Diseases,2021,(10):912.[doi:10.16806/j.cnki.issn.1004-3934.2021.10.012]
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左束支起搏的最新进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年10期
页码:
912
栏目:
综述
出版日期:
2021-10-25

文章信息/Info

Title:
Left Bundle Branch Pacing
作者:
王秀秀1 谭焜月 2 熊峰2
?1.西南交通大学医学院,四川 成都 610031 ;2.成都市第三人民医院心内科 成都市心血管病研究所 西南交通大学附属医院,四川 成都 610031)
Author(s):
WANG Xiuxiu1;  TAN Kunyue2;  XIONG Feng2
(1.Medical School of Southwest Jiaotong University,Chengdu 610031,China; 2.Department of Cardiology,The Third Peoples Hospital of Chengdu,Cardiovascular Institute of Chengdu,The Affiliated Hospital of Southwest Jiaotong University,Chengdu 610031,China)
关键词:
左束支起搏; 生理性起搏; 希浦系统起搏
Keywords:
Left bundle branch pacing;  Physiological pacing;  His -Purkinje conduction system pacing
DOI:
10.16806/j.cnki.issn.1004-3934.2021.10.012
摘要:
左束支起搏（LBBP）经室间隔对左侧心内膜下左束支区域进行起搏，以实现生理性起搏，其可行性、安全性及有效性已初步证实。与希氏束起搏相比，LBBP手术难度小、学习周期短、阈值低且稳定。与右室起搏相比，LBBP术后患者可获得更好的心脏同步性及心功能。但LBBP仍处于探索阶段，适宜人群、标准术式、成功标准、长期安全性及疗效等问题仍需进一步研究。本文就适宜人群、疗效及安全性评价和术中影像学监测方法等方面进行综述。
Abstract:
Left bundle branch pacing (LBBP) is a way to achieve physiological pacing by pacing left bundle branch area of left subendocardium from right ventricular septum ,and the feasibility,safety and effectiveness of LBBP have been preliminarily confirmed. Compared with His bundle pacing,LBBP operation is easy,the operator’s learning cycle is short,and the pacing threshold is low and stable. Researches show that patients with LBBP can obtain good cardiac synchronization ,and the cardiac function can be effectively improved compared with right ventricular pacing. However,LBBP is still in the exploratory stage ,and issues such as the adaptation population,standard operation methods,success criteria,long-term safety and efficacy still need to be further studied. This article reviews the adaptation population,efficacy and safety evaluation,intraoperative imaging monitoring methods of LBBP

参考文献/References:

[1] Huang W,Chen X,Su L,et al. A beginner’s guide to permanent left bundle branch pacing[J]. Heart Rhythm,2019,16(12):1791-1796.

[2] Chen K,Li Y. How to implant left bundle branch pacing lead in routine clinical practice[J]. J Cardiovasc Electrophysiol,2019,30(11):2569-2577.

[3] Chen X,Wu S,Su L,et al. The characteristics of the electrocardiogram and the intracardiac electrogram in left bundle branch pacing[J]. J Cardiovasc Electrophysiol,2019,30(7):1096-1101.

[4] Vijayaraman P,Subzposh FA,Naperkowski A,et al. Prospective evaluation of feasibility and electrophysiologic and echocardiographic characteristics of left bundle branch area pacing[J]. Heart Rhythm,2019,16(12):1774-1782.

[5] Su L,Xu T,Cai M,et al. Electrophysiological characteristics and clinical values of left bundle branch current of injury in left bundle branch pacing[J]. J Cardiovasc Electrophysiol,2020,31(4):834-842.

[6] Guo J,Li L,Xiao G,et al. Feasibility and stability of left bundle branch pacing in patients after prosthetic valve implantation[J]. Clinical cardiology,2020,43(10):1110-1118.

[7] Kusumoto FM,Schoenfeld MH,Barrett C,et al. 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay:A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society[J]. J Am Coll Cardiol,2019,74(7):e51-e156.

[8] Guo J,Li L,Meng F,et al. Short-term and intermediate-term performance and safety of left bundle branch pacing[J]. J Cardiovasc Electrophysiol,2020,31(6):1472-1481.

[9] Brignole M,Auricchio A,Baron-Esquivias G,et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy:The Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA)[J]. Eur Heart J,2013,34(29):2281-2329.

[10] Li Y,Chen K,Dai Y,et al. Left bundle branch pacing for symptomatic bradycardia:Implant success rate,safety,and pacing characteristics[J]. Heart Rhythm,2019,16(12):1758-1765.

[11] Ponikowski P,Voors AA,Anker SD,et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure:The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC [J]. Eur Heart J,2016,37(27):2129-2200.

[12] 王华,梁延春. 中国心力衰竭诊断和治疗指南2018[J]. 中华心血管病杂志,2018,46(10):760-789.

[13] Huang W,Su L,Wu S,et al. A novel pacing strategy with low and stable output: pacing the left bundle branch immediately beyond the conduction block[J]. Can J Cardiol,2017,33(12):1736.e1-1736.e3.

[14] Huang W,Wu S,Vijayaraman P,et al. Cardiac resynchronization therapy in patients with nonischemic cardiomyopathy using left?bundle?branch pacing[J]. JACC Clin Electrophysiol,2020,6(7):849-858.

[15] 黄从新,张澍,黄德嘉,等. 心房颤动:目前的认识和治疗建议-2018[J]. 中国心脏起搏与心电生理杂志,2018,32(4):315-368.

[16] January CT,Wann LS,Alpert JS,et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society[J]. J Am Coll Cardiol,2014,64(21):e1-e76.

[17] Kirchhof P,Benussi S,Kotecha D,et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS[J]. Eur Heart J,2016,37(38):2893-2962.

[18] Wang S,Wu S,Xu L,et al. Feasibility and efficacy of his bundle pacing or left bundle pacing combined with atrioventricular node ablation in patients with persistent atrial fibrillation and implantable cardioverter-defibrillator therapy[J]. J Am Heart Assoc,2019,8(24):e014253.

[19] Tondas AE,Pranata R,Hongwei H. Peri-left bundle branch pacing after atrioventricular node ablation and failed his bundle pacing in atrial fibrillation[J]. J Arrhythm,2020,36(1):203-205.

[20] Li X,Qiu C,Xie R,et al. Left bundle branch area pacing delivery of cardiac resynchronization therapy and comparison with biventricular pacing[J]. ESC heart failure,2020,7(4):1711-1722.

[21] Wang Y,Gu K,Qian Z,et al. The efficacy of left bundle branch area pacing compared with biventricular pacing in patients with heart failure:??Matched case-control study[J]. J Cardiovasc Electrophysiol,2020,31(8):2068-2077.

[22] Vijayaraman P,Sundaram S,Cano ?,et al. Left bundle branch area pacing for cardiac resynchronization therapy: results from the international lbbap collaborative study?group[J]. JACC Clin Electrophysiol,2021,7(2):135-147.

[23] 戴辰程,戴文龙,郭保静. 儿童左束支区域起搏六例临床观察[J]. 中华儿科杂志,2020,58(2):107-112.

[24] Jiang H,Hou X,Qian Z,et al. A novel 9-partition method using fluoroscopic images for guiding left bundle branch pacing[J]. Heart Rhythm,2020,17(10):1759-1767.

[25] Zhang J,Wang Z,Zu L,et al. Simplifying physiological left bundle branch area pacing using a new nine partition method[J]. Can J Cardiol,2021,37(2):329-338.

[26] 匡晓晖,张曦,高晓龙,等. 心腔内超声指导左束支起搏[J]. 中华心律失常学杂志,2019,23(2):109-114.

[27] Vijayaraman P,Panikkath R. Intracardiac echocardiography-guided left bundle branch pacing in a patient with tricuspid valve replacement[J]. J Cardiovasc Electrophysiol,2019,30(11):2525-2527.

[28] 刘春霞,谭焜月,邓晓奇,等. 超声心动图对左束支区域起搏电极精准定位的早期观察1例[J]. 临床心血管病杂志,2020,36(5):485-487.

[29] Tan K,Deng X,Wang S,et al. Transthoracic echocardiography-guided left bundle branch pacing without fluoroscopic guidance:a case report [J]. J Clin Ultrasound,2021,49(1):74-77.

[30] 熊峰,邓晓奇,谭焜月,等. 经胸超声心动图引导左束支区域起搏电极植入的初步评价[J]. 心血管病学进展,2020,40(9):1312-1319.

[31] Vijayaraman P,Panikkath R,Mascarenhas V,et al. Left bundle branch pacing utilizing three dimensional mapping[J]. J Cardiovasc Electrophysiol,2019,30(12):3050-3056.

[32] Elizari M V. The normal variants in the left bundle branch system[J]. J Electrocardiol,2017,50(4):389-399.

[33] Hua W,Fan X,Li X,et al. Comparison of left bundle branch and his bundle pacing in bradycardia patients[J]. JACC Clin Electrophysiol,2020,6(10):1291-1299.

[34] Vijayaraman P,Cano ?,Koruth JS,et al. His-Purkinje conduction system pacing?following transcatheter aortic?valve replacement: feasibility and safety[J]. JACC Clin Electrophysiol,2020,6(6):649-657.

[35] Hou X,Qian Z,Wang Y,et al. Feasibility and cardiac synchrony of permanent left bundle branch pacing through the interventricular septum[J]. Europace,2019,21(11):1694-1702.

[36] Ravi V,Larsen T,Ooms S,et al. Late-onset interventricular septal perforation from Left bundle branch pacing[J]. HeartRhythm Case Rep,2020,6(9):627-631.

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更新日期/Last Update: 2021-12-02