经静脉途径拔除植入心律起搏装置导线25例临床体会

杨杰; 程自平; 陈刚; 赵韧; 杜丽; 冯俊; 李超; 史学功; 林敏

doi:10.13201/j.issn.1001-1439.2019.03.007

经静脉途径拔除植入心律起搏装置导线25例临床体会

- 1. 安徽医科大学第一附属医院心血管内科(合肥, 230022);
- 2. 合肥市第二人民医院心血管内科
基金项目:
国家自然科学基金青年科学基金（No：81600286）

详细信息

通讯作者: 程自平,E-mail:2389002342@qq.com

中图分类号: R541.7

收稿日期: 2018-11-17

修回日期: 2019-01-21

Clinical experience in 25 cases of lead extraction of cardiac implantable electronic device via intravenous route

- 1. Department of Cardiology, the First Afiliated Hospital of Anhui Medical University, Hefei, 230022, China;
- 2. Department of Cardiology, the Second People's Hospital of Hefei

More Information

Corresponding author: CHENG Ziping, E-mail: 2389002342@qq.com

Received Date: 17 November 2018

Revised Date: 21 January 2019

摘要

摘要: 目的：回顾性分析和总结经静脉途径拔除植入心律起搏装置（CIED）导线的方法和体会。方法：25例CIED患者（导线断裂3例、感染22例）的47根导线经静脉途径成功拔除，其中6例导线徒手拔除，15例应用锁定钢丝和扩张鞘拔除，1例运用Evolution机械鞘拔除，3例经下腔静脉途径拔除；22例患者于对侧植入新的心律起博装置，2例患者无植入新的起搏装置指证，1例患者因感染性心内膜炎积极治疗无效死亡。结果：所有导线均完全拔除，术中术后均未发生严重并发症。结论：经静脉途径拔除CIED导线是根治心律起博装置导线相关问题的重要措施，科学、有效的运用多种器械和技术在复杂病例的应用中十分重要。
- 植入心律起博装置 /
- 导线拔除 /
- 感染
Abstract: Objective: A retrospective analysis and summary of the method and experience of lead extraction of cardiac implantable electronic device (CIED) by intravenous route.Method: A total of 47 leads from 25 patients with CIED (3 with broken leads and 22 with infections) were successfully removed via intravenous route.Among them, 6 cases were pulled out by hand and 15 cases were removed by locking wire and extension sheath, 1 by evolution mechanical sheath and 3 by inferior vena cava.In 22 patients, new pacemaker devices were implanted in the contralateral side, 2 patients had no indication of new pacemaker device, and 1 patient died due to infective endocarditis.Result: All of the leads were completely removed and no severe complications occured.Conclusion: It is an important measure to remove CIED lead via intravenous route.Application of various instruments and technologies is helpful in these complex cases.
- cardiovascular implantable electronic device /
- lead extraction /
- infections

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参考文献(14)

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