Transseptalni pristup implantacije resinhronizacione terapije srca

Mihailo Cedomir Vukmirovic; Lazar Angelkov; Irena Tomasevic Vukmirovic; Filip Vukmirovic

doi:10.2298/VSP141216324V

Mihailo Cedomir Vukmirovic Clinical Center of Montenegro, *Center of Cardiology Podgorica, Montenegro
Lazar Angelkov Institute of Cardiovascular Diseases Dedinje, Belgrade, Serbia
Irena Tomasevic Vukmirovic Clinical Center of Montenegro, Center of Patology, Podgorica, Montenegro
Filip Vukmirovic Clinical Center of Montenegro, Center of Radiology, Podgorica, Montenegro

DOI: https://doi.org/10.2298/VSP141216324V

Ključne reči: resinhronizaciona terapija srca;, resinhronizaciona terapija srca, uređaji;, lečenje, ishod

Sažetak

Uvod. Kod bolesnika sa resinhronizacionom terapijom srca elektroda za levu komoru se pretezno uvodi preko odgovarajuće grane koronarnog sinusa. Medjutim, u slučaju neuspeha, atrijalni transseptalni pristup je alternativa, ali je prilično zahtevan za izvodjenje. Prikaz bolesnika. Bolesnik star 59 godina, muškog pola, hospitalizovan je zbog implantacije srčane resinhronizacione terapije atrijalnim traneseptalnim pristupom zbog nemogućnosti uvodjenja elektrode preko grane koronarnog sinusa. Neishemijska dilatativna kardiomiopatija registrovana je unazad jednu godinu. Aktivno fiksirajuća elektroda je preko vene subklavije, interatrijalnog septuma odnosno mitralnog zaliska implantirana u posterolateralni deo leve komore. Defibrilatorska elektroda za desnu komoru, odnosno elektroda za desnu pretkomoru, su rutinski implantirane u septum desne komore, odnosno aurikulu desne pretkomore. Zaključak. Implantacija elektrode za levu komoru atrijalnim transseptalnim pristupom je izvodljiva i sigurna ukoliko se nije uspjelo preko grane koronarnog sinusa.

Biografija autora

Mihailo Cedomir Vukmirovic, Clinical Center of Montenegro, *Center of Cardiology Podgorica, Montenegro

internista kardiolog

magistar kardiologije

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