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皮下植入式心脏复律除颤器:新特性、植入技术及未来发展

The Subcutaneous Implantable Cardioverter-defibrillator: New Features and Implant Techniques and Future Developments.

作者信息

Zeineh Nabil S, Prutkin Jordan M

机构信息

Electophysiology Section, Department of Cardiology, University of Washington, Seattle, WA, USA.

出版信息

J Innov Card Rhythm Manag. 2018 Nov 15;9(11):3417-3424. doi: 10.19102/icrm.2018.091104. eCollection 2018 Nov.

DOI:10.19102/icrm.2018.091104
PMID:32494477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7252801/
Abstract

The use of subcutaneous implantable cardioverter-defibrillators (S-ICDs) has increased over time. Device-based algorithms have been developed to reduce inappropriate shocks. New implant techniques have been developed including the two-incision technique and the placement of the generator submuscularly. More patients are being implanted without general anesthesia. This review summarizes the newest S-ICD features, surgical implantation methods, and device-related safety and efficacy findings.

摘要

随着时间的推移,皮下植入式心律转复除颤器(S-ICD)的使用有所增加。已开发出基于设备的算法以减少不适当的电击。已开发出新的植入技术,包括双切口技术和将发生器置于肌肉下。越来越多的患者在没有全身麻醉的情况下接受植入。本综述总结了S-ICD的最新特征、手术植入方法以及与设备相关的安全性和有效性研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/3a28d2811621/icrm-09-3417-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/a287c7ba7729/icrm-09-3417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/d524d6d83f84/icrm-09-3417-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/584d42380d94/icrm-09-3417-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/3a28d2811621/icrm-09-3417-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/a287c7ba7729/icrm-09-3417-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/d524d6d83f84/icrm-09-3417-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/584d42380d94/icrm-09-3417-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b28/7252801/3a28d2811621/icrm-09-3417-g004.jpg

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JACC Clin Electrophysiol. 2016 Feb;2(1):89-96. doi: 10.1016/j.jacep.2015.09.011. Epub 2015 Oct 17.
2
Acute and 3-Month Performance of a Communicating Leadless Antitachycardia Pacemaker and Subcutaneous Implantable Defibrillator.一款无导线心脏再同步治疗除颤器和皮下植入式除颤器的即刻和 3 个月性能表现。
JACC Clin Electrophysiol. 2017 Dec 26;3(13):1487-1498. doi: 10.1016/j.jacep.2017.04.002. Epub 2017 May 31.
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Subcutaneous ICD screening with the Boston Scientific ZOOM programmer versus a 12-lead ECG machine.
使用波士顿科学公司的ZOOM编程器与12导联心电图机进行皮下植入式心律转复除颤器(ICD)筛查。
Pacing Clin Electrophysiol. 2018 May;41(5):511-516. doi: 10.1111/pace.13314. Epub 2018 Mar 31.
4
Intermuscular implantation technique for subcutaneous cardioverter-defibrillators.皮下植入式心律转复除颤器的肌间植入技术
Herz. 2019 Sep;44(6):541-545. doi: 10.1007/s00059-018-4688-0. Epub 2018 Feb 21.
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Ventricular Fibrillation Conversion Testing After Implantation of a Subcutaneous Implantable Cardioverter Defibrillator: Report From the National Cardiovascular Data Registry.皮下植入式心律转复除颤器植入后的心室颤动转复测试:来自国家心血管数据注册中心的报告。
Circulation. 2018 Jun 5;137(23):2463-2477. doi: 10.1161/CIRCULATIONAHA.117.032167. Epub 2018 Feb 20.
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