无并发症血管外植入式心律转复除颤器取出4年后:1例报告。

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Jolien A. de Veld, Kirsten M. Kooiman, Reinoud E. Knops
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引用次数: 0

摘要

开发血管外植入式心律转复除颤器(EV-ICD)是为了克服与经静脉导联相关的并发症,同时能够提供抗心动过速起搏(ATP)。铅被植入胸骨下间隙,这使得拔出过程非常谨慎。我们报告了一位51岁的女性,在4年的导联停留时间后成功取出EV-ICD,这是报道中最长的。在去除导联周围剑突部位的所有粘连后,采用简单牵引拔出EV-ICD导联。我们建议只有在最初尝试不成功的情况下才使用拔除工具,如果在铅的尾端不再可见粘连,因为这些工具也可能损害周围组织和铅。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Uncomplicated Extravascular Implantable Cardioverter-Defibrillator Extraction After 4 Years Dwell Time: A Case Report

Uncomplicated Extravascular Implantable Cardioverter-Defibrillator Extraction After 4 Years Dwell Time: A Case Report

The extravascular implantable cardioverter-defibrillator (EV-ICD) was developed to overcome complications associated with transvenous leads while being able to deliver anti-tachycardia pacing (ATP). The lead is implanted in the substernal space, which makes extraction a cautious procedure. We present a case of a 51-year-old women with a successful EV-ICD extraction after a lead dwell time of 4 years, which is the longest reported. The EV-ICD lead was extracted using simple traction after the removal of all adhesions at the xiphoidal site around the lead. We advise to only use extraction tools if the initial attempt is not successful and if no adhesions at the caudal part of the lead are visible anymore, as these tools could also damage the surrounding tissue and the lead.

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来源期刊
CiteScore
5.20
自引率
14.80%
发文量
433
审稿时长
3-6 weeks
期刊介绍: Journal of Cardiovascular Electrophysiology (JCE) keeps its readership well informed of the latest developments in the study and management of arrhythmic disorders. Edited by Bradley P. Knight, M.D., and a distinguished international editorial board, JCE is the leading journal devoted to the study of the electrophysiology of the heart.
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