The Importance of Lead Positioning to Improve Clinical Outcomes in Cardiac Resynchronization Therapy

M. Stoia, S. Istratoaie, S. Pop, F. Anton, S. Criṣan, D. Blendea
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引用次数: 2

Abstract

Left ventricular (LV) lead positioning is one of the main contributors to the cardiac resynchronization therapy (CRT) response. Conventional left ventricular (LV) lead implantation faces several difficulties, which may ultimately affect lead stability and performance. Several imaging techniques have been proposed to overcome all these obstacles including multimodality cardiac imaging to help in preprocedural or intraprocedural identification of the latest activated areas of the LV. Emerging pacing strategies like LV multisite and multipoint pacing may help deliver an enhanced response to CRT, but prospective trials are warranted to confirm the superiority of this approach.
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导联定位对改善心脏再同步化治疗临床效果的重要性
左心室导联定位是影响心脏再同步化治疗(CRT)疗效的主要因素之一。传统的左心室导联植入存在诸多困难,最终可能影响导联的稳定性和性能。已经提出了几种成像技术来克服所有这些障碍,包括多模态心脏成像,以帮助在手术前或术中识别最新激活的左室区域。新兴的起搏策略,如左室多位点和多点起搏,可能有助于提高对CRT的反应,但需要前瞻性试验来证实这种方法的优越性。
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