Hemmer W, Rybak K, Markewitz A, Israel C, Krämer L-I, Neuzner J, Nowak B, Pfeiffer D, Schuchert A, Wiegand U
Sana Herzchirurgie, Stuttgart.
Thorac Cardiovasc Surg. 2009 Feb;57(1):1-10. doi: 10.1055/s-2008-1039175. Epub 2009 Jan 23.
Therapy with implantable pacemakers, cardioverter defibrillators (ICD), and devices for cardiac resynchronization (CRT) is performed by various medical and surgical specialists. With the change from implantation by thoracotomy to the transvenous approach, an increasing number of devices are implanted by cardiologists. The purpose of this paper is to establish training requirements for transvenous device therapy, implantation and follow-up examinations, regardless of the implanting person, an internist, cardiologist, general surgeon, or cardiothoracic surgeon. Epicardial lead placement should be performed only by surgeons. Two levels of training topics are defined, level 1 for pacemakers and level 2 for ICD and CRT devices. Surgery that involves the implantation of foreign material should demand the highest standards of operating rooms design and environment. Catheter laboratories used for implantations should meet operating room standards. Complications need to be documented carefully for quality control.
植入式起搏器、心脏复律除颤器（ICD）以及心脏再同步治疗（CRT）设备的治疗由各类医学和外科专家进行。随着从开胸植入转变为经静脉途径，越来越多的设备由心脏病专家植入。本文的目的是确定经静脉设备治疗、植入及随访检查的培训要求，无论植入者是内科医生、心脏病专家、普通外科医生还是心胸外科医生。心外膜导线放置仅应由外科医生进行。定义了两个培训主题级别，1级针对起搏器，2级针对ICD和CRT设备。涉及植入异物的手术应要求手术室设计和环境达到最高标准。用于植入的导管实验室应符合手术室标准。为了质量控制，需要仔细记录并发症情况。
