| Liu Xiaoyu,Zhang Changying,Zheng Jie,Yu Zhiming,Wang Ruxing.Comparison of fluoroscopy exposure between HIS bundle pacing and conventional pacing during procedures[J].Chinese Journal of Radiological Medicine and Protection,2020,40(11):877-881 |
| Comparison of fluoroscopy exposure between HIS bundle pacing and conventional pacing during procedures |
| Received:December 18, 2019 |
| DOI：10.3760/cma.j.issn.0254-5098.2020.11.012 |
| KeyWords:HIS Bundle Pacing Cardiovascular intervention Dose Patient |
| FundProject: |
| Author Name | Affiliation | E-mail | | Liu Xiaoyu | Department of Candiology, Wuxi People's Hospital, 214023, China | | | Zhang Changying | Department of Candiology, Wuxi People's Hospital, 214023, China | | | Zheng Jie | Department of Candiology, Wuxi People's Hospital, 214023, China | | | Yu Zhiming | Department of Candiology, Wuxi People's Hospital, 214023, China | | | Wang Ruxing | Department of Candiology, Wuxi People's Hospital, 214023, China | ruxingw@aliyun.com |
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| 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. |
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