Sydell and Arnold Miller Family Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.
Curr Cardiol Rep. 2011 Oct;13(5):407-14. doi: 10.1007/s11886-011-0198-x.
With the increasing numbers of cardiac implantable devices in use, lead extraction has become a critical procedure in remedying device-related infections and complications. Lead extraction technology has grown considerably over the past two decades from simple traction maneuvers to the use of powered, telescoping sheaths equipped with laser technology. Data from single center experiences and randomized control trials have continued to demonstrate the safety and efficacy of the most current lead extraction technology. Still, major complications occur in less than 1% of patients. Patient preparation and in-place laboratory protocols are important for the prevention of complications and the rapid diagnosis and treatment of life-threatening complications should they arise.
随着心脏植入设备的使用数量不断增加，导线拔除术已成为治疗与设备相关的感染和并发症的关键程序。在过去的二十年中，导线拔除技术得到了极大的发展，从简单的牵引操作发展到使用带有激光技术的电动、伸缩鞘管。来自单中心经验和随机对照试验的数据继续证明了最先进的导线拔除技术的安全性和有效性。尽管如此，不到 1%的患者仍会出现严重并发症。患者准备和现场实验室方案对于预防并发症以及快速诊断和治疗危及生命的并发症非常重要。
