摘要
目的探讨直接房间隔起搏的方法学。方法将患者分为电生理检查引导组和直接植入组，前者根据电生理的标测结果进行房间隔起搏导线的植入，后者直接应用可控钢丝或者预塑形钢丝进行房间隔起搏导线的植入，术后3、6、12个月随访，观察导线的阈值、感知和阻抗，以及导线脱位等并发症的发生率。结果电生理检查组15例患者中完成了13例导线植入，急性期脱位2例，慢性脱位1例，直接植入组14例患者均完成起搏导线植入，无导线脱位等并发症，随访中两组之间导线的阈值、感知、阻抗等参数差异均无统计学意义。结论永久性房间隔起搏是安全、可行的。直接房间隔起搏也有同样高安全性和高成功率。
Objective The aim of this study is to investigate the method of direct septal pacing. Methods The study population consisted of 29 patients who were randomized to atrial sptal lead with electrophysiological study（EPS） guiding and lead directly. The lead of latter group was implanted with assistance of the technique of deflectable and preshaped straight stylet. The capture threshold, sensing threshold and impedance of the lead have been observed during post operation. As well as, the complications associated with atrial septal lead were observed simultaneously. Results The lead was successfully inserted in 13 patients in group with EPS guiding, lead dislodgment occurred in 2 patients in acute period, and one patient was suffered from lead dislodgment after two years post operation. No lead dislodgment occurred in lead implantation directly, there were no significant difference in the capture threshold, sensing threshold and impedance of atrial septal lead between two groups during follow-up. Conclusion Atrial septal paicng is safe and feasible. Lead directly without EPS guiding is safe and feasible too.
出处
《中华心律失常学杂志》
2008年第1期5-7,共3页
Chinese Journal of Cardiac Arrhythmias
基金
浙江省科技厅重点课题基金资助（2006C23020）
