心脏起搏器植入方法ppt课件.pptVIP

* 导线现在进入到心房。例图显示了导线放置在心耳。它是典型的心房导线放置的部位。非创伤性的J型导线往往用于这种放置。 * This slide shows atrial lead placement. The atrial lead is typically positioned in the atrial appendage. * 该图所示的是透视下同一型号的J型导线在成型之前的影像。 导线进入心耳的通道、比我们通常估计的稍微低一点。当典型的往返摆动被观察到时，导线就被植入正确的位置。 一般大概在5点钟的位置允许导线进入右心耳。 * Fluoroscopy is used to view lead placement. In general, the leads pass through the venous system with ease. Some manipulation is typically required to move the tip (1) across the bicuspid valve and/or (2) position the tip in the atrium. A stylet is often used to facilitate lead maneuvering. * * 检查一下缝合的紧密性。我们经常使用袖翼固定导线的