Love Charles J
Johns Hopkins Hospital, 600 North Wolfe Street/Carnegie 592B, Baltimore, MD 21287, USA.
Card Electrophysiol Clin. 2018 Mar;10(1):127-136. doi: 10.1016/j.ccep.2017.11.013.
Management of patients with cardiac implantable electronic devices (CIEDs) has become complex given the complications that can occur with implanted lead systems. Clinical problems such as infection, lead failure, and occluded vessels create situations that demand intervention to remove leads. Due to adhesions that occur in the venous system and at the endomyocardial attachment site, simple traction to remove a lead is often not sufficient. Infection is a mandatory reason to remove the entire CIED system. Tools and techniques are now available that enable a skilled operator to extract leads with a great deal of efficacy and safety.
鉴于植入式导线系统可能出现的并发症，心脏植入式电子设备（CIED）患者的管理变得复杂。感染、导线故障和血管闭塞等临床问题会产生需要干预以移除导线的情况。由于静脉系统和心内膜附着部位会出现粘连，单纯通过牵引来移除导线往往是不够的。感染是移除整个CIED系统的必要理由。现在有了一些工具和技术，使熟练的操作人员能够高效且安全地取出导线。
