Elshazly Mohamed B, Tarakji Khaldoun G
Division of Cardiology, Department of Medicine, Weill Cornell Medical College, Doha, Qatar.
Department of Cardiac Electrophysiology and Pacing, Heart and Vascular Institute, Cleveland Clinic, 9500 Euclid Avenue J2-2, Cleveland, OH 44195, USA.
Card Electrophysiol Clin. 2018 Dec;10(4):667-674. doi: 10.1016/j.ccep.2018.04.004. Epub 2018 Oct 5.
The number of implanted cardiovascular implantable electronic devices (CIEDs) has increased significantly in the last 30 years, which has led to an upsurge in CIED complications, such as infection and lead malfunction requiring CIED extraction. The decision-making process of CIED reimplantation requires meticulous planning that includes careful consideration of several aspects: the reason for extraction, the indication for CIED reimplantation, patients' wishes, timing of reimplantation, the need for a bridging device, and the type and location of device to be reimplanted. In this article, the authors review this decision-making process and the necessary steps to achieve optimal patient outcomes.
在过去30年中,植入式心血管植入电子设备(CIED)的数量显著增加,这导致CIED并发症激增,如感染和需要取出CIED的导线故障。CIED再植入的决策过程需要精心规划,其中包括仔细考虑几个方面:取出的原因、CIED再植入的指征、患者的意愿、再植入的时机、是否需要桥接设备以及要再植入设备的类型和位置。在本文中,作者回顾了这一决策过程以及实现最佳患者预后所需的必要步骤。