The effectiveness and safety of temporary transvenous cardiac pacing leads placement into coronary sinus vein in patients with sick sinus syndrome

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Noninvasive Electrocardiology Pub Date : 2023-11-23 DOI:10.1111/anec.13099

Mingxian Chen MD, Zhihong Wu MD, Lin Hu MD, Xuping Li MD, Hui Yang MD, Zhenjiang Liu MD, Yichao Xiao MD, Qiming Liu MD, Shenghua Zhou MD

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引用次数: 0

Abstract

Background

The temporary pacing lead routinely is placed into right ventricular (RV), which pose a risk of dislocation and cardiac perforation.

Objective

We aim to evaluate the effectiveness and safety of temporary transvenous cardiac pacing (TTCP) leads placement into the coronary sinus vein (CSV) in patients with sick sinus syndrome (SSS).

Methods

We investigated patients with SSS who underwent TTCP lead placement into the CSV under the guidance of X-ray between January 2013 and May 2023. Patients were randomly divided into two groups: RV group (n = 33) and CSV group (n = 22). The ordinary passive bipolar electrodes were applied in both groups. In RV groups, electrodes were placed into RV. In CSV group, electrodes were placed into CSV. We evaluated the operation duration, fluoroscopic exposure, first-attempt success rate of leads placement, pacing threshold, success rate of leads placement, rate of leads displacement, and complications.

Results

Compared with that in RV group, the procedure time, fluoroscopic exposure was significantly prolonged, while the first-attempt success rate of lead placement was obviously increased in CSV group (both p < .05). Compared with that in RV group, the rate of leads displacement is lower in CSV group (both p < .05). There were three patients occurred cardiac perforation in RV group, but no cardiac perforation was reported in CSV group (p > .05).

Conclusion

TTCP leads placement into the CSV is an effective and safe strategy in patients with SSS. It indicates a high rate of pacing effectiveness with low device replacement and complication rates.

Abstract Image

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临时经静脉心脏起搏导线置入病窦综合征患者冠状窦静脉的有效性和安全性。

背景:临时起搏导联通常被放置在右心室(RV)，这有脱位和心脏穿孔的风险。目的:评价暂时经静脉心脏起搏(TTCP)导联置入冠状窦静脉(CSV)治疗病窦综合征(SSS)的有效性和安全性。方法:对2013年1月至2023年5月在x线引导下行TTCP导联置入CSV的SSS患者进行调查。随机分为两组:RV组(n = 33)和CSV组(n = 22)。两组均采用普通被动双极电极。在RV组中，电极放置在RV中。CSV组电极置于CSV中。我们评估了手术时间、透视暴露、首次尝试导线放置成功率、起搏阈值、导线放置成功率、导线移位率和并发症。结果:与RV组比较，CSV组手术时间、透视暴露时间明显延长，置铅首次成功率明显提高(p < 0.05)。结论:TTCP导联置入术是治疗SSS患者安全有效的方法。这表明起搏效率高，设备更换率低，并发症发生率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Noninvasive Electrocardiology 医学-心血管系统

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.