Al-Hadithi Ali Bak, Do Duc H, Boyle Noel G
UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza, Los Angeles, CA 90095, USA.
UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza, Los Angeles, CA 90095, USA.
Card Electrophysiol Clin. 2018 Dec;10(4):561-571. doi: 10.1016/j.ccep.2018.05.003. Epub 2018 Oct 5.
Transvenous approaches for pacemaker and defibrillator lead insertion offer numerous advantages over epicardial techniques. Although the cephalic, axillary, and subclavian veins are most commonly used in clinical practice, they each offer their own set of advantages and disadvantages that leave their usage dependent on patient anatomy and physician preference. Alternative methods using the upper and lower venous circulation have been described when these veins are not available or practical for lead insertion. Until current technology is superseded by leadless pacing systems, the search for the optimal lead insertion technique continues.
与心外膜技术相比，经静脉途径植入起搏器和除颤器导线具有诸多优势。虽然头静脉、腋静脉和锁骨下静脉在临床实践中最为常用，但它们各自都有一系列优缺点，其使用取决于患者的解剖结构和医生的偏好。当这些静脉不可用或不适合插入导线时，已描述了使用上下静脉循环的替代方法。在无导线起搏系统取代现有技术之前，对最佳导线插入技术的探索仍在继续。
