Shah Bakhtawar, Hussain Cheragh, Awan Zahid Aslam
Department of Cardiology, Hayatabad Medical Complex, Hayatabad, Peshawar, Pakistan.
J Ayub Med Coll Abbottabad. 2017 Apr-Jun;29(2):241-245.
Device implantation is an integral part of interventional cardiology particularly electrophysiology. In this study, we are going to shear our experience of device implantation technique at electrophysiology department Hayatabad Medical Complex, Peshawar.
The study was conducted from June 2011 to December 2015. Axillary vein was used to implant the devices but in some cases when this rout was not convenient due to any reason then subclavian vein was entered through the Seldinger technique. Fluoroscopy time was less than 10 minutes and total procedure time was not more than 45 minutes. Electric cautery was used only in two cases. Pressure dressing was used in a few cases.
Total numbers of permanent pacemakers (PPM) remain 800 during the study period. There were 450 single chamber pacemakers and 350 dual chambers pacemakers. No case of any major bleeding was documented and in very few cases there was mild ooze from the procedure site after the operation which was tackled with pressure dressing. Four cases of pneumothorax were noted during the study period and in three cases chest intubation were done and one patient was kept on conservative management. Patient were followed after one moth of discharge from the hospital and then yearly. Eight cases of lead dislodgment were documented during the study period.
Axillary vein approach for implantation of permanent pacemakers is a safe and less time-consuming technique.
设备植入是介入心脏病学尤其是电生理学不可或缺的一部分。在本研究中，我们将分享我们在白沙瓦哈亚塔巴德医疗中心电生理科的设备植入技术经验。
本研究于2011年6月至2015年12月进行。采用腋静脉植入设备，但在某些情况下，由于任何原因该路径不方便时，则通过Seldinger技术进入锁骨下静脉。透视时间少于10分钟，总手术时间不超过45分钟。仅在两例中使用了电灼。少数情况下使用了加压包扎。
在研究期间，永久性起搏器（PPM）总数为800台。其中单腔起搏器450台，双腔起搏器350台。未记录到任何大出血病例，极少数情况下术后手术部位有轻度渗血，通过加压包扎处理。研究期间发现4例气胸，其中3例行胸腔插管，1例患者采用保守治疗。患者出院1个月后进行随访，之后每年随访一次。研究期间记录到8例导线脱位。
采用腋静脉途径植入永久性起搏器是一种安全且耗时较少的技术。
