Use of Micra AV in Patients with High-grade Atrioventricular Block in Hong Kong: A Single Center Experience

Q4 Medicine

Journal of the Hong Kong College of Cardiology Pub Date : 2023-10-14 DOI:10.55503/2790-6744.1513

Hing Yin Wilson Lam, Nim Pong Kwong, Ho Fai Daniel Fong

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引用次数: 0

Abstract

Background: Micra AV leadless pacemaker provides an alternative to conventional DDDR pacemakers in patients with high-grade atrioventricular (AV) block. This study aimed to report the real-world single-center experience of using VDD leadless pacing (Micra AV) compared to conventional transvenous DDDR pacing in patients with high-grade AV block in Hong Kong. Methods: A retrospective review of consecutive patients who underwent Micra AV between October 2020 and April 2022 compared to patients with matched age and comorbidities who received conventional DDDR pacing between January 2017 and April 2022. Patients with intermittent or permanent high-grade AV block were included. Results: The outcomes of 22 Micra AV patients were compared to 22 patients who received conventional DDDR pacemakers. The electrical performance was stable during follow-up in 95.5% of patients who received Micra AV. AV synchrony was maintained in 76.2% and 77.8% of patients who received Micra AV at baseline and 6 months, respectively. The mean procedure time was significantly shorter in the Micra AV group than in the conventional group (40.0 ± 14.1 minutes vs. 71.6 ± 33.7 minutes) (p < 0.001), and the length of stay post-implantation of pacemaker in Micra AV group was also shorter (median 1 day vs. 7 days). (p

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Micra AV在香港高级别房室传导阻滞患者中的应用:单中心经验

背景:Micra AV无导联起搏器为高度房室传导阻滞患者提供了传统DDDR起搏器的替代方案。本研究旨在报告在香港使用VDD无导联起搏(Micra AV)与传统经静脉DDDR起搏治疗高级别房室传导阻滞患者的真实单中心体验。方法:对2020年10月至2022年4月期间连续接受Micra AV治疗的患者与2017年1月至2022年4月期间接受常规DDDR起搏的年龄和合并症相匹配的患者进行回顾性分析。包括间歇性或永久性高级别房室传导阻滞的患者。结果:将22例Micra AV患者的结果与22例接受常规DDDR起搏器的患者进行比较。在随访期间，95.5%接受Micra AV治疗的患者电性能稳定。在基线和6个月时，分别有76.2%和77.8%接受Micra AV治疗的患者维持了房颤同步。Micra AV组的平均手术时间明显短于常规组(40.0±14.1分钟比71.6±33.7分钟)(p < 0.001)， Micra AV组起搏器植入后的停留时间也短于常规组(中位1天比7天)。(p

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来源期刊

Journal of the Hong Kong College of Cardiology Medicine-Cardiology and Cardiovascular Medicine

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： The Journal of the Hong Kong College of Cardiology publishes peer-reviewed articles on all aspects of cardiovascular disease, including original clinical studies, review articles and experimental investigations. As official journal of the Hong Kong College of Cardiology, the journal publishes abstracts of reports to be presented at the Scientific Sessions of the College as well as reports of the College-sponsored conferences.