双焦点冠状窦起搏和经导管三尖瓣瓣中瓣植入术:一种创新的联合方法。

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Future cardiology Pub Date : 2024-04-25 Epub Date: 2024-07-08 DOI:10.1080/14796678.2024.2366095
Vincenzo Ezio Santobuono, Paolo Basile, Marco Gentile, Annalisa Logiacco, Francesca Amati, Maria Cristina Carella, Riccardo Memeo, Emanuela De Cillis, Alessandro Santo Bortone, Cinzia Forleo, Marco Matteo Ciccone, Andrea Igoren Guaricci
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引用次数: 0

摘要

三尖瓣置换术最常见的并发症之一是房室传导阻滞(AVB),通常需要永久起搏。放置在右心室的心内膜起搏导联有时可能会干扰植入的人工瓣膜,导致其早期功能障碍,需要更换起搏部位。据我们所知,我们介绍了第一例成功的经皮联合手术,包括在冠状窦植入两个导联用于单心室双焦点起搏,以及经导管三尖瓣瓣中瓣植入术,该患者年轻,三尖瓣生物假体功能严重失调,术后完全性房室传导阻滞需要永久性起搏。
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Bifocal coronary sinus pacing and transcatheter tricuspid valve-in-valve implantation: an innovative combined approach.

One of the most common complications of tricuspid valve replacement is atrioventricular block (AVB), often requiring permanent pacing. The endocardial pacemaker lead, placed in the right ventricle, may sometimes interfere with the implanted prosthesis, causing its early dysfunction and the need for alternative sites of pacing. To the best of our knowledge, we present the first case of a successful combined percutaneous procedure consisting of the implantation of two leads in the coronary sinus for univentricular bifocal pacing and a transcatheter tricuspid valve-in-valve implantation in a young patient with severe dysfunction of the tricuspid bioprosthesis, requiring permanent pacing for a postsurgical complete atrioventricular block.

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来源期刊
Future cardiology
Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.80
自引率
5.90%
发文量
87
期刊介绍: Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.
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