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慢性静脉闭塞的血管成形术以允许心脏设备导线置入:团队协作方法

Venoplasty of a chronic venous occlusion allowing for cardiac device lead placement: A team approach.

作者信息

Golian Mehrdad, Vo Minh, Ravandi Amir, Seifer Colette M

机构信息

Max Rady Faculty of Health Sciences, Rady College of Medicine, University of Manitoba, Winnipeg, Canada.

Max Rady Faculty of Health Sciences, Rady College of Medicine, University of Manitoba, Winnipeg, Canada.

出版信息

Indian Pacing Electrophysiol J. 2016 Nov-Dec;16(6):197-200. doi: 10.1016/j.ipej.2016.11.007. Epub 2016 Nov 10.

DOI:10.1016/j.ipej.2016.11.007
PMID:28401868
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5219838/
Abstract

In patients with complete venous occlusion requiring venous access for cardiac device lead placement, venous revascularization is a viable option. A percutaneous approach to venous revascularization has gained popularity. This method reduces patient exposure to more invasive therapies. In this case series, we describe two cases of a total venous occlusion that were successfully revascularized using a "wire externalization" technique. This technique requires the use of antegrade and retrograde access.

摘要

对于需要通过静脉通路植入心脏设备导线的完全性静脉闭塞患者,静脉血管重建是一种可行的选择。经皮静脉血管重建方法已越来越受欢迎。这种方法可减少患者接受更具侵入性治疗的风险。在本病例系列中,我们描述了两例使用“导线外置化”技术成功实现血管重建的完全性静脉闭塞病例。该技术需要使用顺行和逆行通路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc8/5219838/ba963a578b38/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc8/5219838/a736fae3cb9a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc8/5219838/ba963a578b38/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc8/5219838/a736fae3cb9a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc8/5219838/ba963a578b38/gr2.jpg

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引用本文的文献

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Sovrem Tekhnologii Med. 2021;13(1):66-69. doi: 10.17691/stm2021.13.1.08. Epub 2021 Feb 28.
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Venoplasty of a chronic venous occlusion with 'diathermy' for cardiac device lead placement.采用“透热法”对慢性静脉闭塞进行血管成形术以放置心脏装置导线。
Indian Pacing Electrophysiol J. 2019 Jan-Feb;19(1):27-29. doi: 10.1016/j.ipej.2018.10.002. Epub 2018 Oct 25.

本文引用的文献

1
Subclavian venoplasty may reduce implant times and implant failures in the era of increasing device upgrades.在设备升级日益增加的时代,锁骨下静脉成形术可能会减少植入时间和植入失败的情况。
Pacing Clin Electrophysiol. 2012 Apr;35(4):444-8. doi: 10.1111/j.1540-8159.2011.03303.x. Epub 2012 Jan 9.
2
Subclavian venoplasty by the implanting physicians in 373 patients over 11 years.373 例患者 11 年的锁骨下静脉成形术:植入医生的经验。
Heart Rhythm. 2011 Apr;8(4):526-33. doi: 10.1016/j.hrthm.2010.12.014. Epub 2010 Dec 13.
3
Long-term results of angioplasty and stent placement for treatment of central venous obstruction in 126 hemodialysis patients: a 10-year single-center experience.
126 例血液透析患者中心静脉阻塞经血管成形术和支架置入治疗的 10 年单中心经验:长期结果。
AJR Am J Roentgenol. 2009 Dec;193(6):1672-9. doi: 10.2214/AJR.09.2654.
4
A prospective longitudinal evaluation of the benefits of epicardial lead placement for cardiac resynchronization therapy.经胸心外膜导线放置对心脏再同步治疗益处的前瞻性纵向评估。
Europace. 2009 Oct;11(10):1323-9. doi: 10.1093/europace/eup251.
5
Incidence of venous obstruction following insertion of an implantable cardioverter defibrillator. A study of systematic contrast venography on patients presenting for their first elective ICD generator replacement.植入式心脏复律除颤器植入后静脉阻塞的发生率。对首次进行择期植入式心律转复除颤器(ICD)发生器更换的患者进行系统性对比静脉造影的研究。
Europace. 2004 Jan;6(1):25-31. doi: 10.1016/j.eupc.2003.09.001.
6
Unsuspected subclavian vein stenosis resulting from a permanent pacing wire.由永久性起搏导线导致的隐匿性锁骨下静脉狭窄
Nephrol Dial Transplant. 1996 Nov;11(11):2333-4. doi: 10.1093/oxfordjournals.ndt.a027163.