Perez Adryan A, Woo Frank W, Tsang Darren C, Carrillo Roger G
University of Miami Miller School of Medicine Miami, FL, USA.
Palmetto General Hospital Hialeah, FL, USA.
Arrhythm Electrophysiol Rev. 2018 Aug;7(3):210-217. doi: 10.15420/aer.2018.33.2.
The use of cardiac implantable electronic devices (CIEDs) has continued to rise along with indications for their removal. When confronted with challenging clinical scenarios such as device infection, malfunction or vessel occlusion, patients often require the prompt removal of CIED hardware, including associated leads. Recent advancements in percutaneous methods have enabled physicians to face a myriad of complex lead extractions with efficiency and safety. Looking ahead, emerging technologies hold great promise in making extractions safer and more accessible for patients worldwide. This review will provide the most up-to-date indications and procedural approaches for lead extractions and insight on the future trends in this novel field.
心脏植入式电子设备（CIEDs）的使用随着其移除指征的增加而持续上升。当面对诸如设备感染、故障或血管阻塞等具有挑战性的临床情况时，患者通常需要迅速移除CIED硬件，包括相关导联。经皮方法的最新进展使医生能够高效、安全地面对各种复杂的导联拔除。展望未来，新兴技术在使拔除对全球患者来说更安全、更容易方面具有巨大潜力。本综述将提供导联拔除的最新指征和操作方法，并深入探讨这一新兴领域的未来趋势。
