现代无引线起搏器的围手术期注意事项。

IF 1.1 Q3 ANESTHESIOLOGY
Kenji Tanabe, Samuel Gilliland
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引用次数: 0

摘要

自 2016 年首次获得美国食品和药物管理局批准以来,无引线心脏起搏器已变得越来越普遍。与传统起搏器相比,无引线起搏器的不良反应得到了改善,包括感染率降低,以及消除了袋血肿和引线并发症的风险,这些都推动了无引线起搏器的发展。最近,针对房室传导阻滞患者的无导联同步房室起搏技术极大地扩展了这些设备的适应症。麻醉科医生将越来越多地承担起对使用无导联起搏器接受非电生理学手术和外科手术的患者进行安全护理的任务。本文概述了无导线起搏器的技术、证据基础、当前适应症和独特的围手术期注意事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative Considerations for Modern Leadless Pacemakers.

Since their initial approval by the Food and Drug Administration in 2016, leadless pacemakers have become increasingly prevalent. This growth has been driven by an improved adverse effect profile when compared to traditional pacemakers, including lower rates of infection, as well as eliminated risk of pocket hematoma and lead complications. More recently, technology enabling leadless synchronized atrioventricular pacing in patients with atrioventricular block has vastly expanded the indications for these devices. Anesthesiologists will increasingly be relied upon to safely care for patients with leadless pacemakers undergoing non-electrophysiology procedures and surgery. This article provides an overview of the technology, evidence base, current indications, and unique perioperative considerations for leadless pacemakers.

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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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