Mosquera Víctor X, Pérez-Álvarez Luisa, Ricoy-Martínez Enrique, Mosquera-Pérez Ignacio, Castro-Beiras Alfonso, Cuenca-Castillo José J
Servicio de Cirugía Cardiaca, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
Rev Esp Cardiol. 2011 Sep;64(9):824-7. doi: 10.1016/j.recesp.2010.12.016. Epub 2011 Jun 22.
Explantation of chronically implanted pacemaker or defibrillator leads can be technically demanding. We present the results of the first 44 leads extracted with excimer laser sheaths in 25 patients with a median lead implantation time of 7 years (range: 2 to 20 years). Indications for extraction were lead fracture in 17 patients, pocket infection in 4, septicemia in 2, and lead endocarditis in 2 cases. Complete extraction was achieved in 43 leads (97.7%), while the lead tip (< 4 cm) was abandoned in 1 case. There was no in-hospital mortality. The excimer laser-assisted system is a safe and efficient alternative for pacemaker and defibrillator lead extraction. This technology has resulted in excellent outcomes in our series, allowing us to treat remarkably difficult cases.
长期植入的起搏器或除颤器导线的取出在技术上可能具有挑战性。我们报告了25例患者中首批44根使用准分子激光鞘管取出的导线的结果，导线植入的中位时间为7年（范围：2至20年）。取出的指征包括17例导线断裂、4例囊袋感染、2例败血症和2例导线心内膜炎。43根导线（97.7%）成功完全取出，1例导线尖端（<4 cm）遗留。无院内死亡病例。准分子激光辅助系统是起搏器和除颤器导线取出的一种安全有效的替代方法。在我们的系列研究中，这项技术取得了优异的结果，使我们能够治疗极具挑战性的病例。
