Maradey Joan Alberto, Jao Geoffrey Te, Vachharajani Tushar J
Division of Cardiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Division of Nephrology, Salisbury Veterans Affairs Health Care System, Salisbury, North Carolina, USA.
Hemodial Int. 2018 Oct;22(4):E57-E59. doi: 10.1111/hdi.12665. Epub 2018 Apr 26.
Cardiac rhythm disorder is frequently encountered in hemodialysis patients and is often treated with a cardiovascular implantable electronic device (CIED). The conventional CIED requires placement of transvenous leads resulting in subclinical central venous stenosis, which can adversely affect the successful creation of a permanent dialysis vascular access. The technological advancement of a leadless pacemaker provides an opportunity to implement a strategy to preserve central veins in patients with chronic kidney disease. We report a case of successful placement of a leadless pacemaker in a dialysis patient to preserve the central veins for future vascular access creation.
心脏节律紊乱在血液透析患者中经常出现，且常采用心血管植入式电子设备（CIED）进行治疗。传统的CIED需要放置经静脉导线，这会导致亚临床中心静脉狭窄，进而可能对永久性透析血管通路的成功建立产生不利影响。无导线起搏器的技术进步为实施一项保护慢性肾病患者中心静脉的策略提供了契机。我们报告了一例在透析患者中成功植入无导线起搏器以保留中心静脉以备将来建立血管通路的病例。
