Atreya Auras R, Cook James R, Lindenauer Peter K
a Division of Cardiovascular Medicine, Department of Medicine , Baystate Medical Center , Springfield , MA , USA.
b Department of Medicine , Tufts University School of Medicine , Boston , MA , USA.
Postgrad Med. 2016;128(2):223-30. doi: 10.1080/00325481.2016.1151327. Epub 2016 Feb 22.
Cardiac implantable electronic devices (CIEDs) which include devices such as permanent pacemakers, implantable cardioverter-defibrillators and cardiac resynchronization therapy devices are well established therapies that have been shown to improve quality of life and prolong survival in appropriately selected patients, and are being increasing utilized across the world. However, CIED implantations are invasive procedures and a thorough understanding of the potential complications is required to prevent deleterious patient outcomes. In this review, we will discuss frequent complications (infection, hematoma or bleeding, and procedural mechanical complications) that may harm patients after CIED implantation, and the steps that can be taken to minimize their risk. This is particularly relevant to trainees/ clinicians who either perform these procedures or refer patients for CIED implantation.
心脏植入式电子设备（CIEDs）包括永久性起搏器、植入式心脏复律除颤器和心脏再同步治疗设备等，这些都是成熟的治疗手段，已被证明能改善合适患者的生活质量并延长生存期，且在全球范围内的使用越来越广泛。然而，CIED植入是侵入性操作，需要全面了解潜在并发症以防止对患者产生有害后果。在本综述中，我们将讨论CIED植入后可能对患者造成伤害的常见并发症（感染、血肿或出血以及操作相关机械并发症），以及为将这些并发症风险降至最低可采取的措施。这对实施这些操作或为CIED植入转诊患者的实习医生/临床医生尤为重要。
