浙江医学2017，Vol.39Issue(11)：871-874,4.DOI:10.12056/j.issn.1006-2785.2017.39.11.2017-7
成角角度法指导下的室间隔起搏导线植入的研究
Implantation of ventricular septum pacing leads guided by angulation method
摘要
Abstract
Objective To improve the success rate of implantation of pacemaker leads into ventricular septum guided by the angulation method.Methods One hundred and two patients undergoing implantation of pacemaker were included in the study.The leads were implanted to right ventricular septum guided by angulation,the precise location of implanted pacemaker leads was verified by double source computerized tomography (DSCT) and the ECG was analyzed.Results The DSCT showed that the leads were implanted in ventricular septum in 87 cases,and in the rest 15 cases (14.7％) the leads were implanted to free wall.The success rate(85.3％) was significantly higher than that of authors' previous retrospective study(74％) (x2=2.85,P＜0.05).The ECG analysis showed that QRS interval of free wall pacing was significantly wider than that of ventricular septal pacing (t=5.79,P＜0.05).ECG showed that the V4 lead initial wave of ventricular septal pacing was Q wave;while that of free wall pacing was R wave.Conclusion The implantation of ventricular septal pacing leads guided by angulation is reliable and practicable.关键词
双源CT/室间隔起搏/起搏心电图Key words
Double source computerized tomography/Ventricular septal pacing/Pacing electrocardiogram引用本文复制引用
金红峰,陈建明,刘元伟,王丽娟,唐礼江..成角角度法指导下的室间隔起搏导线植入的研究[J].浙江医学,2017,39(11):871-874,4.基金项目
浙江省重大科技专项(2009C03013-1) （2009C03013-1）
