Bashir Jamil, Carrillo Roger G
University of British Columbia, St. Paul's Hospital, Room 458, 4th Floor, Burrard Building, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.
University of Miami, Miller School of Medicine, 1295 Northwest 14 Street, Suite H, Miami, FL 33125, USA.
Card Electrophysiol Clin. 2018 Dec;10(4):651-657. doi: 10.1016/j.ccep.2018.08.003. Epub 2018 Oct 5.
The rise in indications for cardiac implantable electronic devices has necessitated the development of tools for removal of the electrodes that connect the heart to these externally located pacemakers and defibrillators. After implant of a cardiac electrode, variable but progressive fibrous adhesion occurs. Removal of these adhesions can cause devastating complications with high risk of mortality if not treated surgically in a highly expeditious and appropriate manner. This article describes the incidence, risk factors, and diagnosis of these injuries followed by discussion of recent evidence for use of superior vena cava balloon occlusion, and conventional surgical repair of these injuries.
心脏植入式电子设备适应证的增加，使得开发用于移除将心脏与这些外置起搏器和除颤器相连的电极的工具成为必要。心脏电极植入后，会发生程度不一但呈进行性的纤维粘连。如果不以高度迅速且恰当的方式进行手术治疗，移除这些粘连会导致灾难性并发症，死亡率很高。本文描述了这些损伤的发生率、危险因素和诊断，随后讨论了使用上腔静脉球囊闭塞术以及对这些损伤进行传统手术修复的最新证据。
