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经房间隔途径植入心脏再同步化治疗左心室心内膜电极1例并文献复习

Left ventricular endocardial pacing via puncture of the interatrial septum for cardiac resynchronization therapy: a case report and literature review
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摘要 心脏再同步化治疗（CRT）通过双心室起搏恢复心室电-机械同步性，是治疗心力衰竭合并心室失同步的有效手段。目前常规经冠状窦将左心室起搏电极置于冠状静脉属支（侧支或后支等），进行左心室心外膜起搏。本文报告1例经房间隔穿刺植入左心室心内膜起搏电极完成CRT的病例，并结合文献进行复习。
作者 邓世燕 俞杉 田野 安亚平 龙向淑 吴强
机构地区 贵州省人民医院心内科
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2017年第9期862-864,共3页 Chinese Journal of Practical Internal Medicine
关键词 心脏再同步化治疗 房间隔 心内膜 左心室 cardiac resynchronization therapy interatrial septum endocardium left ventricle
分类号 R541.7 [医药卫生—心血管疾病] R541.6 [医药卫生—心血管疾病]
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  • 1Bisch L, Da Costa A, Dauphinot V, et al. Predictive factors of diffi- cult implantation procedure in cardiac resynchronization therapy. Europace,2010,12 : 1141-1148.
  • 2Jais P, Douard H, Shah DC, et al. Endocardial biventricular pacing. PACE, 1998,21:2128-2131.
  • 3van Gelder BM, Scheffer MG, Meijer A, et al. Transseptal endocar- dial left ventricular pacing : an alternative technique for coronary si- nus lead placement in cardiac resynchronization therapy. Heart Rhythm,2007,4:454-460.
  • 4Morgan JM, Scott PA, Turner NG, et al. Targeted left ventricular en- doeardial pacing using a steerable introducing guide catheter and active fixation pacing lead. Europace ,2009,11:502-506.
  • 5Derval N,Steendijk P, Gula LJ, et al. Optimizing hemodynamics in heart failure patients by systematic screening of left ventricular pa- cing sites: the lateral left ventricular wall and the coronary sinus are rarely the best sites. J Am Coll Cardiol,2010,55:566-575.
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  • 7Scott PA, Yue AM, Watts E, et al. Transseptal left ventricular endo- cardial pacing reduces dispersion of ventricular repolarization. Pa- cing Clin Electrophysiol,2011,34 : 1258-1266.
  • 8van Deursen C, van Geldorp IE, Rademakers LM, et al. Left ventric- ular endocardial pacing improves resynehronization therapy in ca- nine left bundle-branch hearts. Circ Arrhythm Electrophysiol, 2009,2:580-587.
  • 9Garrigue S, Jais P, Espil G, et al. Comparison of chronic biventficu- lar pacing between epicardial and endoeardial left ventricular stimu- lation using Doppler tissue imaging in patients with heart failure. Am J Cardiol,2001,88 :858-862.
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中国实用内科杂志
2017年 第9期

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