左束支起搏的最新进展  

Left Bundle Branch Pacing

作　　者：王秀秀 谭焜月 熊峰 WANG Xiuxiu;TAN Kunyue;XIONG Feng(Medical School of Southwest Jiaotong University,Chengdu 610031,Sichuan,China;Department of Cardiology,The Third People’s Hospital of Chengdu,Chengdu Cardiovascular Institute,The Affiliated Hospital of Southwest Jiaotong University,Chengdu 610031,Sichuan,China)

机构地区：[1]西南交通大学医学院,四川成都610031 [2]西南交通大学附属医院成都市第三人民医院心内科成都市心血管病研究所,四川成都610031

出　　处：《心血管病学进展》2021年第10期912-915,共4页Advances in Cardiovascular Diseases

基　　金：四川省卫生健康委科技项目(20PJ210)。

摘　　要：左束支起搏(LBBP)经室间隔对左侧心内膜下左束支区域进行起搏,以实现生理性起搏,其可行性、安全性及有效性已初步证实。与希氏束起搏相比,LBBP手术难度小,学习周期短,阈值低且稳定。与右室起搏相比,LBBP术后患者可获得更好的心脏同步性及心功能。但LBBP仍处于探索阶段,适宜人群、标准术式、成功标准、长期安全性及疗效等问题仍需进一步研究。现就适宜人群、疗效及安全性评价和术中影像学监测方法等方面进行综述。Left bundle branch pacing(LBBP)is a way to achieve physiological pacing by pacing left bundle branch area of left subendocardium from right ventricular septum,and the feasibility,safety and effectiveness of LBBP have been preliminarily confirmed.Compared with His bundle pacing,LBBP operation is easy,the operator’s learning cycle is short,and the pacing threshold is low and stable.Researches show that patients with LBBP can obtain good cardiac synchronization,and the cardiac function can be effectively improved compared with right ventricular pacing.However,LBBP is still in the exploratory stage,and issues such as the adaptation population,standard operation methods,success criteria,long-term safety and efficacy still need to be further studied.This article reviews the adaptation population,efficacy and safety evaluation,intraoperative imaging monitoring methods of LBBP.

关 键 词：左束支起搏 生理性起搏 希浦系统起搏 

分 类 号：R541.7[医药卫生—心血管疾病]