无上肢静脉通路患者的永久性起搏：当前技术综述
Permanent pacing in patients without upper limb venous access: a review of current techniques.
作者信息
Seow Swee-Chong, Lim Toon-Wei, Singh Devinder, Yeo Wee-Tiong, Kojodjojo Pipin
机构信息
Cardiology Department , National University Heart Centre , Singapore , Singapore.
出版信息
Heart Asia. 2014 Nov 27;6(1):163-6. doi: 10.1136/heartasia-2014-010546. eCollection 2014.
Abstract
Permanent transvenous cardiac pacing is usually accomplished through the upper limb veins. When these are occluded, several other vascular access options exist which include the internal jugular, external jugular, femoral and iliac veins as well as more proximal access of the subclavian veins. Anterograde and retrograde techniques to restore subclavian venous patency has been described. A review of these approaches is undertaken, with a discussion of their pros and cons. Familiarity with these techniques will enable the implanter to perform transvenous pacing when faced with limited vascular access.
摘要
永久性经静脉心脏起搏通常通过上肢静脉完成。当上肢静脉闭塞时，还存在其他几种血管通路选择，包括颈内静脉、颈外静脉、股静脉和髂静脉，以及锁骨下静脉更靠近近端的通路。已经描述了恢复锁骨下静脉通畅的顺行和逆行技术。本文对这些方法进行了综述，并讨论了它们的优缺点。熟悉这些技术将使植入者在面对有限的血管通路时能够进行经静脉起搏。
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