Maus Timothy M, Shurter Jesse, Nguyen Liem, Birgersdotter-Green Ulrika, Pretorius Victor
Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
Sulpizio Cardiovascular Center; University of California San Diego, La Jolla, California.
J Cardiothorac Vasc Anesth. 2015 Apr;29(2):265-70. doi: 10.1053/j.jvca.2014.11.010. Epub 2014 Nov 11.
To evaluate the success and complication rates of a single center's multidisciplinary approach to transvenous lead extraction.
One university hospital.
One hundred ninety-five patients scheduled for transvenous lead extraction.
A multidisciplinary approach to transvenous lead extraction involving cardiac surgery, electrophysiology, perfusion, and cardiac anesthesiology.
A case series of 351 lead extractions performed in 195 patients over a 42-month period. Indications, success rates, and complication rates were tracked and retrospectively evaluated and reported. Indications for lead extraction included 53.3% because of lead malfunction, 36.9% because of infection, with the remaining 9.7% from other categories such as venous stenosis. The lead extraction rate was 99.7%, with complete removal in 97.7%. The overall major complication rate was 3.08%. After an initial 1-year period of performing lead extractions, the overall major complication rate reduced to 1.23%.
Transvenous lead extraction generally is a safe procedure, but not without complications. A multidisciplinary approach involving cardiac surgery, electrophysiology, and cardiac anesthesiology allows for successful management and the ability to rapidly manage major complications.
评估单中心采用多学科方法进行经静脉导线拔除的成功率和并发症发生率。
一家大学医院。
195例计划进行经静脉导线拔除的患者。
采用涉及心脏外科、电生理学、灌注和心脏麻醉学的多学科方法进行经静脉导线拔除。
在42个月期间对195例患者进行了351次导线拔除的病例系列研究。对适应证、成功率和并发症发生率进行跟踪，并进行回顾性评估和报告。导线拔除的适应证包括：因导线故障占53.3%，因感染占36.9%，其余9.7%来自其他类别，如静脉狭窄。导线拔除率为99.7%，完全拔除率为97.7%。总体主要并发症发生率为3.08%。在开始进行导线拔除的1年之后，总体主要并发症发生率降至1.23%。
经静脉导线拔除通常是一种安全的操作，但并非没有并发症。涉及心脏外科、电生理学和心脏麻醉学的多学科方法能够成功进行管理，并能够迅速处理主要并发症。
