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使用激光系统进行导线拔除：技术、疗效及局限性

Lead extraction using a laser system: Techniques, efficacy, and limitations.

作者信息

Okamura Hideo

机构信息

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita, 565-8565 Osaka, Japan.

出版信息

J Arrhythm. 2016 Aug;32(4):279-82. doi: 10.1016/j.joa.2015.06.006. Epub 2015 Aug 18.

DOI:10.1016/j.joa.2015.06.006
PMID:27588149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4996850/
Abstract

Transvenous lead extraction is becoming popular in Japan since the approval of laser extraction system in 2010. The laser system seems to be the standard method used by most physicians, owing to its efficacy and ease of handling. The efficacy and safety of this technology has been well proven in many studies and the data suggest that it can be used for Japanese patients safely. However, lead extraction can cause serious complications. Thus, it is important to learn the limitations as well as the basic techniques and efficacy of this procedure.

摘要

自2010年激光拔除系统获批以来，经静脉导线拔除术在日本正逐渐流行起来。由于其有效性和易于操作，激光系统似乎是大多数医生使用的标准方法。这项技术的有效性和安全性在许多研究中已得到充分证实，数据表明它可以安全地用于日本患者。然而，导线拔除可能会导致严重并发症。因此，了解该手术的局限性以及基本技术和有效性非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/0bf6cb6534d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/ea8d0bb84235/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/9f1f823de9fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/0bf6cb6534d1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/ea8d0bb84235/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/9f1f823de9fe/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af07/4996850/0bf6cb6534d1/gr3.jpg

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Outcomes of patients requiring emergent surgical or endovascular intervention for catastrophic complications during transvenous lead extraction.经静脉导线拔除术中因灾难性并发症而需要紧急手术或血管内介入治疗的患者的预后。
Heart Rhythm. 2014 Mar;11(3):419-25. doi: 10.1016/j.hrthm.2013.12.004. Epub 2013 Dec 4.
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Initial experience of pacemaker and implantable cardioverter defibrillator lead extraction with the new GlideLight 80 Hz laser sheaths.
经静脉导线拔除术——适应证、方法及并发症
Biomedicines. 2022 Nov 1;10(11):2780. doi: 10.3390/biomedicines10112780.
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J Interv Card Electrophysiol. 2023 Aug;66(5):1067-1075. doi: 10.1007/s10840-021-01076-x. Epub 2021 Nov 27.
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Transvenous lead extraction outcomes using a novel hand-powered bidirectional rotational sheath as a first-line extraction tool in a low-volume centre.在低容量中心，使用新型手动双向旋转鞘作为一线提取工具的经静脉导线提取结果。
Interact Cardiovasc Thorac Surg. 2021 Apr 8;32(3):395-401. doi: 10.1093/icvts/ivaa286.
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