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针对使用DF-4导联患者高除颤阈值的一种新解决方案：添加高压适配器/分流器。

A Novel Solution for the High Defibrillation Threshold in Patients with a DF-4 Lead: Adding a High Voltage Adaptor/Splitter.

作者信息

Inbar Shmuel, Seethala Srikanth

机构信息

Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, NM.

出版信息

Indian Pacing Electrophysiol J. 2014 May 25;14(3):152-6. doi: 10.1016/s0972-6292(16)30756-2. eCollection 2014 May.

DOI:10.1016/s0972-6292(16)30756-2
PMID:24920870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4032782/
Abstract

A high defibrillation threshold occurs in approximately 6% of implants. The defibrillation threshold can be improved by addition of a defibrillation lead. However, the DF-4 high energy ICD header precludes the addition of a defibrillation lead. Here we report on use of a new high voltage adaptor/splitter that enables the addition of an extra defibrillation lead.

摘要

约6%的植入病例会出现高除颤阈值。通过增加一根除颤导线可改善除颤阈值。然而，DF - 4高能植入式心律转复除颤器（ICD）接头无法增加除颤导线。在此，我们报告一种新型高压适配器/分流器的使用情况，该装置能够增加一根额外的除颤导线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/e019c1c186d0/ipej140152-03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/ba0d4062ee3c/ipej140152-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/4633784441eb/ipej140152-02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/e019c1c186d0/ipej140152-03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/ba0d4062ee3c/ipej140152-01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/4633784441eb/ipej140152-02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd01/4032782/e019c1c186d0/ipej140152-03.jpg

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引用本文的文献

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本文引用的文献

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Pacing Clin Electrophysiol. 2013 Jul;36(7):855-62. doi: 10.1111/pace.12130. Epub 2013 Apr 25.
2
Introduction of new industry standards for cardiac implantable electronic devices: balancing benefits and unexpected risks.引入心脏植入式电子设备的新行业标准：平衡获益与意料之外的风险。
Europace. 2012 Aug;14(8):1081-6. doi: 10.1093/europace/eus034. Epub 2012 Mar 1.
3
Incidence of very high defibrillation thresholds (DFT) and efficacy of subcutaneous (SQ) array insertion during implantable cardioverter defibrillator (ICD) implantation.
植入式心脏复律除颤器（ICD）植入过程中极高除颤阈值（DFT）的发生率及皮下（SQ）阵列植入的疗效。
J Interv Card Electrophysiol. 2010 Nov;29(2):127-33. doi: 10.1007/s10840-010-9511-7. Epub 2010 Sep 24.
4
Limitations of the DF-4 defibrillator connector necessitating device removal.DF-4除颤器连接器的局限性使得必须移除该设备。
Pacing Clin Electrophysiol. 2012 Jan;35(1):e24-6. doi: 10.1111/j.1540-8159.2010.02873.x. Epub 2010 Aug 17.
5
High defibrillation threshold: the science, signs and solutions.高除颤阈值：科学、体征与解决方案。
Indian Pacing Electrophysiol J. 2010 Jan 7;10(1):21-39.
6
The implantable cardioverter-defibrillator lead: principles, progress, and promises.植入式心脏复律除颤器导线：原理、进展与前景。
Pacing Clin Electrophysiol. 2009 Oct;32(10):1336-53. doi: 10.1111/j.1540-8159.2009.02492.x.
7
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Eur J Cardiothorac Surg. 2009 Mar;35(3):489-92. doi: 10.1016/j.ejcts.2008.10.021. Epub 2009 Jan 14.
8
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J Am Coll Cardiol. 2005 Dec 20;46(12):2183-92. doi: 10.1016/j.jacc.2005.01.071.