电极的植入技巧__培训课件.ppt

* 更短的阴极头到阳极环距离可以减少R波远场感知。此外，更短的阴极头到阳极环距离可以减少电极体较硬部分的长度，从而使电极在鞘管中更好操作 更短的阴极头到阳极环距离(T-R spacing)有什么好处？ 下面列举的研究显示了更短的T-R spacing可以减少可能的远场R波感知。对于ICD，正确的识别出房性心律失常对于其分辨SVT和VT是非常重要的。而对于普通起搏器，精确的感知对于其模式转化并进行相应的房性心率失常治疗也是非常重要的。 Steinhaus, D., et. al., Far Field R Wave Amplitude: Does Tip to Ring Spacing or Location Make a Difference?, NASPE abstract ID 100431 Van Gelder, B,. et. al., Far Field R Wave Sensing: the Role of the Inter-Electrode Distance, Electrode Location, and Ventricular Activation, NASPE abstract ID 102285 The 3830 electrodes are coated with Titanium Nitride (TiN). The chart in this slide shows the results of internal testing of platinized plating black coated electrodes vs. TiN coated electrodes. 3830的电极头涂有TiN涂层。本页的这张图显示了TiN涂层和platinized plating black涂层的电极在降低极化电位方面的表现[Ref: 5076T/BL0006445]。 为什么低的极化电位很重要？ 极化电位改变了除极波的形态，如果极化电位足够高，甚至会掩盖除极波。除极波是起搏刺激后心肌的电学反应，这个对于我们心室的自动阈值管理很重要。SelectSecure的TiN涂层可以减少极化现象，而CapSureFix Novus使用的Platinized platinum涂层，相对于3830有更高的极化电位。 Lau, C., et. al., Intraoperative Study of Polarization and Evoked Response Signals in Different Endocardial Electrode Designs, PACE 2001; 24:1055–1060 Bolz A, Hubmann M, Hardt R, Riedmuller J, Schaldach M., Low polarization pacing lead for detecting the ventricular-evoked response, Med Prog Technol 1993;19(3):129-37 * * Review product features. At a high level here are the important aspects of the C315 catheter shapes: 7 Catheter shapes all have a 5.4 French Inner diameter and 7.0 French Outer diameter The Integrated valve combined with the fixed shapes allow for a simplified procedure (as compared to the C304). In-line hub is designed for ease of slitting 16 X 16 Braided kink resistant shaft and hydrophilic coating on the inner lumen Soft, radiopaque tips All shapes can be used in either A or V The next few slides will highlight some additional details of these key catheter specifications * Q. What is the value of the C315 catheter? Our messages include: Small, Simple, Precise Small – Compat