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心内膜起搏器导线植入的替代方法：一种混合式小切口开胸手术入路。

Alternate method for endocardial pacemaker lead implantation: A hybrid mini-thoracotomy approach.

作者信息

Kumar Viveka, Kumar Nayak Pradipta, Singh Yadav Mitendra, Dhir Sangeeta, Arora Vanita, Kumar Vivek

机构信息

Department of Cardiology, Max Superspeciality Hospital, New Delhi, India.

Consultant Cardiology, Max Superspeciality Hospital, India.

出版信息

Indian Pacing Electrophysiol J. 2021 May-Jun;21(3):178-181. doi: 10.1016/j.ipej.2021.01.007. Epub 2021 Jan 22.

DOI:10.1016/j.ipej.2021.01.007
PMID:33493671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8116752/
Abstract

Although the conventional methods for endo-cardial pacemaker lead implantation via subclavian or cephalic or axillary vein routes is common, but sometimes due to anatomical variations it is not feasible to access these veins Emergence of newer techniques are useful for lead implantation. This case report focuses on a hybrid approach of combined mini-thoracotomy for endocardial pacemaker lead implantation. This fluoroscopy guided minimal thoracotomy approach with endocardial MRI compatible lead placement had the benefits of simple procedural, minimal hospital stay, low early complication rates and economically viable to the patient.

摘要

虽然通过锁骨下静脉、头静脉或腋静脉途径进行心内膜起搏器导线植入的传统方法很常见，但有时由于解剖变异，无法通过这些静脉进行操作。新技术的出现有助于导线植入。本病例报告重点介绍了一种用于心内膜起搏器导线植入的联合小切口开胸术的混合方法。这种在荧光透视引导下的微创开胸术及与心内膜MRI兼容的导线放置方法具有操作简单、住院时间短、早期并发症发生率低且对患者经济可行的优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/9b1d0fb6e67f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/7783c5f29712/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/0d21bdae9a6e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/9b1d0fb6e67f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/7783c5f29712/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/0d21bdae9a6e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3838/8116752/9b1d0fb6e67f/gr3.jpg

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本文引用的文献

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State of the art of leadless pacing.无导线起搏技术的现状。
Europace. 2015 Oct;17(10):1508-13. doi: 10.1093/europace/euv096. Epub 2015 May 29.
2
Novel Technique of Dual Chamber Pacing Through Mini-thoracotomy and Transatrial Endocardial Active Fixation Lead Insertion for Epicardial Pacing Lead Malfunction.通过小切口开胸和经心房心内膜主动固定导线植入治疗心外膜起搏导线故障的双腔起搏新技术。
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Inside-out access: a new method of lead placement for patients with central venous occlusions.
心内膜下入路：一种用于中心静脉阻塞患者的新的导线放置方法。
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Supraclavicular vein approach to overcoming ipsilateral chronic subclavian vein obstruction during pacemaker-ICD lead revision or upgrading.锁骨下静脉入路在心脏起搏器-ICD 导线修复或升级时克服同侧慢性锁骨下静脉阻塞。
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Surgically placed left ventricular leads provide similar outcomes to percutaneous leads in patients with failed coronary sinus lead placement.在冠状动脉窦导线放置失败的患者中，经皮放置左心室导线与外科放置导线具有相似的效果。
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