Randomized Controlled Trial Comparing Training of Transseptal Puncture With or Without Intracardiac Echocardiography.

IF 1.7 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Pace-Pacing and Clinical Electrophysiology Pub Date : 2024-12-01 Epub Date: 2024-10-20 DOI:10.1111/pace.15081

Qi Guo, Caihua Sang, Yiwei Lai, Mingyang Gao, Xueyuan Guo, Wenli Dai, Songnan Li, Nian Liu, Song Zuo, Deyong Long, Jianzeng Dong, Changsheng Ma

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引用次数: 0

Abstract

Background: Intracardiac echocardiography (ICE) has been widely used in the catheter ablation of atrial fibrillation (AF). However, the value of ICE in the training of transseptal puncture (TSP) is unclear.

Methods: ICE-Training Study was a single-center, parallel-group, unmasked, randomized controlled trial registered in ChineseClinicalTrials.gov. Participants were randomly assigned (1:1) to different groups (1) the ICE simulator training group (ICE-ST), in which TSP was trained and performed under the guidance of both ICE and x-ray; and (2) the conventional simulator training group (Con-ST), in which TSP was trained and performed only under the guidance of x-ray. The trainees need to undergo the training stage and the evaluation stage.

Results: From October 2022 to December 2022, 18 consecutive fellows (age 32.4 ± 4.4 years, 12 males) without experience of TSP were included. The training period (16.9 ± 6.6 vs. 29.6 ± 8.7 times, p = 0.003) and the fluoroscopy time (120.3 ± 25.3 vs. 189.3 ± 40.2 s, p < 0.001) of the ICE-ST group was significantly shorter than that of the Con-ST group. No significant difference was found in the comprehensive performance of TSP in the ICE-ST group (composite score 96.7 ± 5.7) and the Con-ST group (composite score 95.9 ± 6.3, p = 0.62), but the selection of TSP sites in the ICE-ST group was commonly better than that in the Con-ST group.

Conclusions: ICE could improve the efficiency of TSP training and optimize the site of TSP to facilitate catheter manipulation in the ablation.

Trial registration: ChineseClinicalTrials.gov identifier: ChiCTR2200058377.

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随机对照试验：比较有无进行心内超声心动图检查的经脐穿刺培训。

背景：心内超声心动图（ICE）已广泛应用于心房颤动（AF）的导管消融术。然而，ICE在经窦道穿刺（TSP）培训中的价值尚不明确：ICE-培训研究是一项在中国临床试验网（ChineseClinicalTrials.gov）注册的单中心、平行组、无掩蔽、随机对照试验。参与者被随机分配（1:1）到不同的组别：(1) ICE 模拟器训练组（ICE-ST），在 ICE 和 X 射线的引导下进行 TSP 训练和操作；(2) 传统模拟器训练组（Con-ST），仅在 X 射线的引导下进行 TSP 训练和操作。学员需要经历培训阶段和评估阶段：结果：从 2022 年 10 月至 2022 年 12 月，连续纳入了 18 名没有 TSP 经验的研究员（年龄（32.4±4.4）岁，12 名男性）。培训时间（16.9±6.6 对 29.6±8.7 次，P = 0.003）和透视时间（120.3±25.3 对 189.3±40.2 秒，P 结论：ICE 可以提高 TSP 的效率：ICE 可以提高 TSP 训练的效率，优化 TSP 的部位，便于消融过程中的导管操作：试验注册：ChineseClinicalTrials.gov identifier：ChiCTR2200058377。

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

Pace-Pacing and Clinical Electrophysiology 医学-工程：生物医学

CiteScore

2.70

自引率

5.60%

发文量

209

审稿时长

2-4 weeks

期刊介绍： Pacing and Clinical Electrophysiology (PACE) is the foremost peer-reviewed journal in the field of pacing and implantable cardioversion defibrillation, publishing over 50% of all English language articles in its field, featuring original, review, and didactic papers, and case reports related to daily practice. Articles also include editorials, book reviews, Musings on humane topics relevant to medical practice, electrophysiology (EP) rounds, device rounds, and information concerning the quality of devices used in the practice of the specialty.