左心室心内膜导联起搏用于心脏再同步化治疗的可行性

IF 0.3 Q4 CRITICAL CARE MEDICINE

Egyptian Journal of Critical Care Medicine Pub Date : 2018-08-01 DOI:10.1016/j.ejccm.2018.05.002

Alaa Solaiman Algazzar, Mohamed Osama Taha, Azza Ali Katta , Asmaa El Abbady, Heba Abdelmoteleb Lotfy

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引用次数: 0

摘要

双心室再同步化治疗推荐用于左心室功能障碍和心室非同步化的患者。在尝试心脏再同步化治疗(CRT)的患者中，5%-10%的患者植入左心室(LV)导联失败。由于冠状窦及其分支的解剖异常或高起搏阈值或膈神经刺激，常规入路是不可行的。我们报告了一个62岁 的男性病例，其中经CS的左室导联植入失败，并通过经间隔入路进行左室导联植入。我们描述了左室心内膜起搏是CS起搏的替代方案，需要长期随访。

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Feasibility of left ventricular endocardial lead pacing for cardiac resynchronization therapy

Biventricular resynchronization therapy is recommended for patients presenting with left ventricular (LV) dysfunction and ventricular dyssynchrony. Implantation of a left ventricular (LV) lead fails in 5%–10% of patients in whom cardiac resynchronization therapy (CRT) is attempted. Conventional approach is not feasible due to anatomic abnormalities in coronary sinus (CS) and its branches or due to high pacing thresholds or phrenic nerve stimulation. We present a case of a 62 year old male in which, LV lead implantation through CS was failed and LV lead implantation was done via transseptal approach. We described that LV endocardial pacing is an alternative to CS pacing and needs a long-term follow up.

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来源期刊

Egyptian Journal of Critical Care Medicine

自引率

0.00%

发文量

审稿时长

42 weeks

期刊介绍： The Egyptian Journal of Critical Care Medicine is the official Journal of the Egyptian College of Critical Care Physicians, the most authoritative organization of Egyptian physicians involved in the multi-professional field of critical care medicine. The journal is intended to provide a peer-reviewed source for multidisciplinary coverage of general acute and intensive care medicine and its various subcategories including cardiac, pulmonary, neuro, renal as well as post-operative care. The journal is proud to have an international multi-professional editorial board in the broad field of critical care that will assist in publishing promising research and breakthrough reports that lead to better patients care in life threatening conditions, and bring the reader a quick access to the latest diagnostic and therapeutic approaches in monitoring and management of critically ill patients.