皮下植入式除颤器取出技术。

Technique for subcutaneous implantable cardioverter-defibrillator extraction.

机构信息

Department of Medicine, Division of Cardiology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, New York.

出版信息

J Cardiovasc Electrophysiol. 2019 May;30(5):789-791. doi: 10.1111/jce.13893. Epub 2019 Mar 7.

DOI:10.1111/jce.13893

PMID:30815922

Abstract

There are no established methods for subcutaneous implantable cardioverter-defibrillator (S-ICD) extraction other than simple manual traction for devices with short dwell time. However, as more chronic indwelling S-ICDs need removal for various reasons, understanding the S-ICD lead design and methods for its removal are essential. A case of a chronic indwelling S-ICD extraction is described, and a technique utilizing a modified mechanical polypropylene sheath to safely remove the lead is outlined in detail.

摘要

除了短驻留时间的设备可以采用简单的手动牵引外，目前还没有用于皮下植入式心律转复除颤器（S-ICD）取出的既定方法。然而，由于各种原因需要取出更多的慢性留置 S-ICD，因此了解 S-ICD 导联的设计和取出方法是至关重要的。本文介绍了 1 例慢性留置 S-ICD 取出的病例，并详细描述了一种利用改良的机械性聚丙烯鞘来安全取出导联的技术。