Comparison of fluoroscopy exposure between HIS bundle pacing and conventional pacing during procedures
10.3760/cma.j.issn.0254-5098.2020.11.012
- VernacularTitle:希氏束起搏与普通起搏术中患者射线暴露的比较
- Author:
Xiaoyu LIU
1
;
Changying ZHANG
;
Jie ZHENG
;
Zhiming YU
;
Ruxing WANG
Author Information
1. 无锡市人民医院心血管内科 214023
- From:
Chinese Journal of Radiological Medicine and Protection
2020;40(11):877-881
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the differences of fluoroscopy time and dose between HIS bundle pacing and right ventricle apex pacing.Methods:This study includes thirty patients undergoing HIS bundle pacing (HIS group) and 32 patients undergoing right ventricular apex pacing (RVA group). The fluoroscopy time and cumulative dose (CD) to patients during surgery were recorded and analyzed.Results:The operation time for patients in HIS group and RVA group were (76.8±13.1) and (66.0±10.8) min ( t=3.386, P<0.001), respectively. The fluoroscopy time was (698.2±113.7) and (293.3±63.9) s ( t=14.709, P<0.001) and the CD were (391.3±70.0) and (162.3±40.5) mGy ( t=13.694, P<0.001) in HBP group and RVA group, respectively. In comparison, the fluoroscopy time and CD for HIS bundle electrode implantation were (501.2±112.3) s and (279.9±65.0) mGy, respectively, significantly higher than in the case of RVA, where the values were (103.4±30.6) s and (57.3±13.8) mGy ( t=15.864, Z=-6.524, P<0.001). Conclusions:Compared with right ventricular apical pacing, the HIS bundle pacing takes longer operation time, leading to higher radiation dose, which should be prudently selected.
