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Lead extraction using a laser system: Techniques, efficacy, and limitations.使用激光系统进行导线拔除：技术、疗效及局限性
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本文引用的文献

1
Device infections: management and indications for lead extraction.器械感染：导线拔除的管理与指征
Circulation. 2013 Aug 27;128(9):1031-8. doi: 10.1161/CIRCULATIONAHA.113.000763.
2
Initial experience using Excimer laser for the extraction of chronically implanted pacemaker and implantable cardioverter defibrillator leads in Japanese patients.在日本患者中使用准分子激光提取慢性植入式起搏器和植入式心脏复律除颤器导线的初步经验。
J Cardiol. 2013 Sep;62(3):195-200. doi: 10.1016/j.jjcc.2013.03.012. Epub 2013 May 30.
3
Left ventricular lead implantation at a phrenic stimulation site is safe and effective.左心室导线植入于膈神经刺激部位是安全且有效的。
Europace. 2011 Apr;13(4):520-5. doi: 10.1093/europace/euq505. Epub 2011 Jan 17.
4
Anatomic evaluation of the left phrenic nerve relevant to epicardial and endocardial catheter ablation: implications for phrenic nerve injury.与心外膜和心内膜导管消融相关的左膈神经的解剖学评估：对膈神经损伤的影响。
Heart Rhythm. 2009 Jun;6(6):764-8. doi: 10.1016/j.hrthm.2009.02.029. Epub 2009 Feb 24.
5
Laser-assisted lead extraction: the European experience.激光辅助导线拔除术：欧洲经验
Europace. 2007 Aug;9(8):651-6. doi: 10.1093/europace/eum098. Epub 2007 Jun 27.

采用圈套技术成功经颈静脉在前斜角肌前方取出导线。

Successful transjugular extraction of a lead in front of the anterior scalene muscle by using snare technique.

作者信息

Okada Ayako, Aizawa Kazunori, Tomita Takeshi, Yoshie Kouji, Takeuchi Takahiro, Shoda Morio, Ikeda Uichi

机构信息

Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.

出版信息

J Arrhythm. 2015 Aug;31(4):249-51. doi: 10.1016/j.joa.2014.12.002. Epub 2015 Jan 17.

DOI:10.1016/j.joa.2014.12.002
PMID:26336570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4555455/
Abstract

The incidence of cardiovascular implantable electronic device infection is increasing. We report a case of and successful device removal in a 79-year-old man with implantable cardioverter-defibrillator infection. Right phrenic nerve paralysis was evident on chest radiography. The lead was in front of the anterior scalene muscle, close to the left phrenic nerve. Therefore, extraction carried a risk of bilateral phrenic nerve paralysis. The lead was successfully extracted from the right internal jugular vein by using the snare technique. No complications occurred, and the extraction was successful.

摘要

心血管植入式电子设备感染的发生率正在上升。我们报告了一例79岁植入式心脏复律除颤器感染患者成功移除设备的病例。胸部X线片显示右侧膈神经麻痹明显。导线位于前斜角肌前方，靠近左侧膈神经。因此，拔除导线存在双侧膈神经麻痹的风险。通过圈套技术成功地从右颈内静脉拔除了导线。未发生并发症，拔除成功。