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采用双向旋转式Evolution机械鞘管的混合微创技术用于经静脉导线拔除：电生理学家与心脏外科医生的合作。

Hybrid minimally invasive technique with the bidirectional rotational Evolution mechanical sheath for transvenous lead extraction: A collaboration between electrophysiologists and cardiac surgeons.

作者信息

Migliore Federico, Cavalli Giacomo, Bottio Tomaso, Testolina Martina, De Lazzari Manuel, Bertaglia Emanuele, Iliceto Sabino, Gerosa Gino

机构信息

Department of Cardiac, Thoracic, and Vascular Sciences University of Padova Padova Italy.

出版信息

J Arrhythm. 2018 Apr 30;34(3):329-332. doi: 10.1002/joa3.12064. eCollection 2018 Jun.

DOI:10.1002/joa3.12064
PMID:29951157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6009986/
Abstract

We report a case of a 63-year-old man referred for lead extraction with the bidirectional rotational Evolution RL mechanical sheath because of systemic infection. As it was judged a "high-risk" procedure, we opted for a "hybrid," minimally invasive approach consisting in a minithoracotomic access. This technique is a feasible approach, and it might be a potential safer alternative in the most challenging transvenous lead extraction procedures.

摘要

我们报告了一例63岁男性患者，因全身感染，使用双向旋转式Evolution RL机械鞘进行导线取出术。由于该手术被判定为“高风险”手术，我们选择了一种“混合”的微创方法，即通过小切口开胸入路。该技术是一种可行的方法，在最具挑战性的经静脉导线取出手术中可能是一种潜在的更安全的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9cd/6009986/10b4832fb3ff/JOA3-34-329-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9cd/6009986/d5f1252c7702/JOA3-34-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9cd/6009986/10b4832fb3ff/JOA3-34-329-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9cd/6009986/d5f1252c7702/JOA3-34-329-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9cd/6009986/10b4832fb3ff/JOA3-34-329-g002.jpg

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本文引用的文献

1
Predictors of long-term survival free from relapses after extraction of infected CIED.感染性 CIED 取出后无复发的长期生存预测因素。
Europace. 2018 Jun 1;20(6):1018-1027. doi: 10.1093/europace/eux121.
2
Predicting the difficulty of a transvenous lead extraction procedure: Validation of the LED index.预测经静脉导线拔除术的难度：LED指数的验证
J Cardiovasc Electrophysiol. 2017 Jul;28(7):811-818. doi: 10.1111/jce.13223. Epub 2017 May 9.
3
The European Lead Extraction ConTRolled (ELECTRa) study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes.
Hybrid Lead Extraction Technique: Combined Transatrial Laser Lead Extraction and Surgical Removal of Calcified Lesions.
混合式导线拔除技术：经心房激光导线拔除与钙化病变手术切除相结合
JACC Case Rep. 2019 Oct 16;1(3):281-286. doi: 10.1016/j.jaccas.2019.09.004. eCollection 2019 Oct.
4
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.
欧洲经皮心脏电生理导线拔除控制（ELECTRa）研究：一项经欧洲心律协会（EHRA）注册的经静脉导线拔除结果研究。
Eur Heart J. 2017 Oct 21;38(40):2995-3005. doi: 10.1093/eurheartj/ehx080.
4
Safety and efficacy of the new bidirectional rotational Evolution® mechanical lead extraction sheath: results from a multicentre Italian registry.新型双向旋转 Evolution® 机械导丝提取鞘的安全性和有效性：来自意大利多中心注册研究的结果。
Europace. 2018 May 1;20(5):829-834. doi: 10.1093/europace/eux020.
5
Hybrid Minimally Invasive Approach for Transvenous Lead Extraction: A Feasible Technique in High-Risk Patients.经静脉导线拔除的混合微创方法：高危患者的一种可行技术
J Cardiovasc Electrophysiol. 2017 Apr;28(4):466-473. doi: 10.1111/jce.13164. Epub 2017 Feb 9.
6
Balloon-assisted rescue of four consecutive patients with vascular lacerations inflicted during lead extraction.球囊辅助救治连续4例在导线拔除过程中发生血管撕裂伤的患者。
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Predictors of advanced lead extraction based on a systematic stepwise approach: results from a high volume center.
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Deaths and cardiovascular injuries due to device-assisted implantable cardioverter-defibrillator and pacemaker lead extraction.因器械辅助植入式心律转复除颤器和心脏起搏器导线拔除导致的死亡和心血管损伤。
Europace. 2010 Mar;12(3):395-401. doi: 10.1093/europace/eup375. Epub 2009 Nov 27.