经股路植入心脏植入式电子装置的远期疗效。

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Pacing and clinical electrophysiology : PACE Pub Date : 2022-04-01 Epub Date: 2022-02-08 DOI:10.1111/pace.14449

Samuel Griffiths, Jonathan M Behar, Daniel B Kramer, Mike T Debney, Christopher Monkhouse, Alicia Y Lefas, Martin Lowe, Fouad Amin, Emily Cantor, Vennela Boyalla, Nabeela Karim, Jan Till, Vias Markides, Jonathan R Clague, Tom Wong

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引用次数: 3

摘要

背景:心脏植入式电子装置(cied)的传统优越通道并不总是可行的，当无引线系统不适合时，股骨植入式电子装置(F-CIED)是另一种选择。F-CIED，特别是复杂的F-CIED (ICD/CRT装置)的长期疗效和拔牙经验尚不清楚。方法:纳入2002年至2019年在两个三级中心转诊的F-CIEDs植入患者。早期并发症定义为种植后≤30天，晚期并发症定义为种植后>30天。结果:31例患者(男性66%;年龄56±20岁;35%[11]先天性心脏病患者植入了f - cied (ICD/CRT 10例，起搏器21例)。6.5%的患者出现早期并发症:2例铅置换。6.8±4.4年晚期并发症发生率为29.0%。与简单的F-CIED相比，复杂的F-CIED患者的这一比例更高(60.0%对14.3%，p = 0.02)。晚期并发症主要与发电机部位相关(n = 8, 25.8%)，包括7例感染/糜坏和1例发电机迁移。8个股骨发生器和14个导联(中位在位时间7年[范围6-11]年)被拔出，无并发症。结论:f - cied手术成功率高，早期并发症发生率临床上可接受。有明显的晚期并发症风险，特别是涉及重复股骨手术后复杂装置的产生部位。在经验丰富的中心进行慢性F-CIED的拔除是可行和安全的。

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The long-term outcomes of cardiac implantable electronic devices implanted via the femoral route.

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The long-term outcomes of cardiac implantable electronic devices implanted via the femoral route.

Conventional superior access for cardiac implantable electronic devices (CIEDs) is not always possible and femoral CIEDs (F‐CIED) are an alternative option when leadless systems are not suitable. The long‐term outcomes and extraction experiences with F‐CIEDs, in particular complex F‐CIED (ICD/CRT devices), remain poorly understood.

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Pacing and clinical electrophysiology : PACE

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