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Bachmann bundle pacing

机译：Bachmann捆绑起搏

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摘要

In pacemaker and ICD therapy, atrial leads are usually implanted in the right atrial appendage (RAA). This is easy but associated with arisk of negative hemodynamic and electrophysiological effects. Atrial depolarization, atrial contraction, and atrioventricular conduction can be delayed and desynchronized by RAA pacing leading to atrial fibrillation, pacing-induced long first-degree AV block, right ventricular pacing and the development of heart failure. High-septal atrial pacing near Bachmann's bundle that connects the right and left atrium can prevent the negative effects of RAA pacing and synchronize atrial excitation as demonstrated by the shortening of the PQ time and Pwave duration during Bachmann bundle pacing. This review presents techniques to implant atrial leads at Bachmann's bundle. Apart from fluoroscopy in left anterior oblique projection, no additional effort compared to RAA implantation is required. Clinical studies on Bachmann bundle pacing are sparse; our own results suggest beneficial effects in patients with sick sinus syndrome and paroxysmal atrial fibrillation who receive atrial pacing for 50% of the time. Bachmann bundle pacing represents an interesting and simple option for atrial pacing. It is desirable to make this technique known to awider spectrum of implanters and to generate more data on its clinical potential.
机译：在起搏器和ICD治疗中，风雨铅通常植入右心房附属物（RAA）。这很容易，但与负血液动力学和电生理学效应的运动效果有关。通过RAA起搏可以延迟和去同步心房去极化，心房收缩和房室传导，导致心房颤动，起搏诱导的长度AV嵌段，右心室起搏和心力衰竭的发展。 Bachmann的束附近的高间隔心房起搏，连接右上庭的束可以防止RAA起搏的负面影响并使心房激励同步，如在Bachmann束起搏期间的PQ时间和P波持续时间的缩短所证明的。本综述将技术植入植入植入植物束缚在Bachmann的束缚中。除了左侧斜斜投影中的荧光检查外，还需要与RAA植入相比的额外努力。 Bachmann束起搏的临床研究是稀疏的;我们自己的结果表明，病人患者患者的有益效果和阵发性心房颤动的患者接受了50％的时间的心房起搏。 Bachmann Bundle Paving代表心房起搏的有趣和简单的选择。期望使该技术已知令人难以持久的植入物频谱并产生更多关于其临床潜力的数据。

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