战吟戈,刘刚

• 1:河北医科大学第一医院心内一科

摘要(Abstract)：

<正>三尖瓣病变是一种常见的心脏瓣膜病变,目前临床上对于病变严重者多首选三尖瓣置换术(tricuspid value replacement,TVR)治疗。行TVR的患者多数心功能较差,需同期处理心脏合并病变,因此,术后治疗风险及并发症发生率较高。由于三尖瓣解剖位置原因,TVR术中极有可能损伤心脏传导系统或冠状动脉等结构,从而导致患者术后发生各种心律失常,包括室上性心动过速、窦性心动过缓、窦性停

关键词(KeyWords)： 三尖瓣置换术;Ⅲ度房室传导阻滞;永久性起搏器;心室电极植入

Abstract:

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基金项目(Foundation):

作者(Author): 战吟戈,刘刚

参考文献(References)：

• [1]涂岚,章慧,张琳钰,等.三尖瓣置换术后主要并发症的护理.解放军护理杂志,2013,20:57-58.
• [2]齐淑英,王冬梅,王刚,等.经冠状静脉植入左室电极及起搏阈值动态变化的实验研究.中国心脏起搏与心电生理杂志,2013,27:275-276.
• [3]王冬梅,韩亚玲,臧红云,等.左室电极导线的随访观察.中国心脏起搏与心电生理杂志,2009,23:458.
• [4]Cesario DA,Shenoda M,Brar R,et al.Left ventricular lead stabilization utilizing acoronary stent.Pacing Clin Electrophysiol,2006,29:427.
• [5]Kowalski O,Pruszkowska-Skrzep P,Lenarczyk R,et al.Coronary sinus stenting for the stabilization of left ventricular lead during resynchronization therapy.Europace,2006,8:367.
• [6]Caroline D,Irene E,Leonard M,et al.Left ventricular endocardial pacing improves resynchronization therapy in canine left bundle-branch hearts.Circ Arrhythmia Electrophysiol,2009,2:580-587.
• [7]Kutyifa V,Merkely B,Szilágyi S,et al.Usefulness of electroanatomical mapping during transseptal endocardial left ventricular lead implantation.Europace,2012,14:599-604.
• [8]Jas P,Douard H,Shah DC,et al.Endocardial biventricular pacing.Pacing Clin Electrophysiol,1998,21:2128-2131.
• [9]Berry M,Patrick H,Fank A.Transseptal left ventricular endocardial pacing:preliminary experience from a femoral approach with subclavian pull-through.Europace,2011,13:1454-1458.
• [10]Derval N,Steendijk P,Gula LJ,et al.Optimizing hemodynamics in heart failure patients by systematic screening of left ventricular pacing sites:the lateral left ventricular wall and the coronary sinus are rarely the best sites.J Am Coll Cardiol,2010,55:566-575.
• [11]Medina-Ravell VA,Lankipalli RS,Yan GX,et al.Effect of epicardial or biventricular pacing to prolong QT interval and increase transmural dispersion of repolarization:does resynchronization therapy pose a risk for patients predisposed to long QT or torsade de pointes?Circulation,2003,107:740-746.
• [12]Scott PA,Yue AM,Watts E,et al.Transseptal left ventricular endocardial pacing reduces dispersion of ventricular repolarization.Pacing Clin Electrophysiol,2011,34:1258-1266.
• [13]Lau EW.A streamlined technique of trans-septal endocardial left ventricular lead placement.J Interv Card Electrophysiol,2009,26:73-81.
• [14]Noiseux N,Khairy P,Founier A,et al.Thirty years of experience with epicardial pacing in children.Cardiol Young,2004,14:512-519.
• [15]Mair H,Sachweh J,Meuris B,et al.Surgical epicardial left ventricular lead versus coronary sinus lead placement in biventricular pacing.Eur J Cardiothorac Surg,2005,27:235-242.