无导线心脏起搏器的研究进展

Research progress of leadless cardiac pacemaker

传统经静脉起搏器(transvenous pacemaker,TVP)挽救了万千患者生命,改善了患者的生活质量,但由起搏器装置所带来的相关并发症也给患者带来痛苦。无导线心脏起搏器(leadless cardiac pacemaker,LCP)的诞生解除了传统经静脉起搏器电极导线及囊袋所带来的并发症,但它的临床应用目前还处于初级阶段,尚存在许多未知和挑战。本综述将进一步介绍无导线心脏起搏器的来源和种类、安全性和临床性能,心脏植入电子装置感染后植入无导线心脏起搏器的应用,无导线心脏起搏器功能终止的管理以及无导线心脏起搏器的未来发展。

Traditional transvenous pacemaker(TVP)has saved the lives of millions of patients and improved their quality of life.However,the related complications caused by pacemaker devices also bring pain to patients.The birth of leadless cardiac pacemaker(LCP)has relieved the complications caused by traditional transvenous pacemaker electrode leads and sachets.However,its clinical application is still in its early stages,and there are still many unknowns and challenges.This review will further introduce the sources,types,safety,and clinical performance of leadless cardiac pacemaker,the application of leadless cardiac pacemaker after infection of implanted cardiac implanted electronic device,the management of termination of function leadless cardiac pacemaker,and the future development of leadless cardiac pacemaker.