Qian buyun, Chen lu, Xu guidong, et al. Clinical practice of left bundle branch pacing in the present[J]. 2021, (5): 385-390.DOI:
左束支起搏的临床应用现状
摘要
希氏束-浦肯野系统起搏夺获心脏的正常传导系统
被认为是最具生理性的起搏方式。与希氏束起搏(HBP)相比
左束支起搏(LBBP)的阈值更低
心室感知更好
操作成功率更高
且有左室间隔部作为备份起搏点
更具有优势。随着对LBBP的深入研究
其操作规范性、应用适应症、并发症防治等逐步完善。本文就左束支起搏的特点
操作步骤
临床应用及研究进展等进行综述。
Abstract
His-purkinje system pacing is considered to be the most physical pacing method as it captures the normal conduction system of the heart. Compared with His bundle pacing(HBP)
Left bundle branch pacing(LBBP)has more advantages including lower threshold
better ventricular perception and higher operation success rate. In addition
it has the left ventricular septum as a backup pacing point. With further study on LBBP
the standardization of operation
application indications
prevention and treatment of complications
ect. are gradually improved. This article reviews the characteristics
operating procedures
clinical applications and research progress of left bundle branch pacing.