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心脏植入式电子设备的手术技术、并发症及长期健康影响

Surgical Techniques, Complications, and Long-Term Health Effects of Cardiac Implantable Electronic Devices.

作者信息

Richardson Crystal J, Prempeh John, Gordon Kyle S, Poyser Tracy-Ann, Tiesenga Frederick

机构信息

Internal Medicine, Saint James School of Medicine, The Quarter, AIA.

Internal Medicine, American University of Antigua, Osburn, ATG.

出版信息

Cureus. 2021 Jan 30;13(1):e13001. doi: 10.7759/cureus.13001.

DOI:10.7759/cureus.13001
PMID:33659133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7920239/
Abstract

Cardiovascular implantable electronic device (CIED) has helped with advanced technological improvement in the cardiac field and has been a long-term alternative to medical management. There are different forms of CIEDs such as pacemakers, implantable cardioverter-defibrillators, and cardiac resynchronization therapy. These devices are efficient in establishing near-normal hemodynamics and circulation that ultimately aid physicians to improve the quality of life for their patients. However, there are risk factors that can result in postoperative complications, including infection, lead and pulse generator complications, heart complications, medication-related complications, and psychosocial complications. To ensure optimal outcome of CIED placement, preprocedural measures need to be in place such as matching the right candidate and using appropriate devices. This review aims to highlight the surgical techniques for CIEDs, the associated postoperative complications, and long-term health effects.

摘要

心血管植入式电子设备(CIED)推动了心脏领域的先进技术进步,并且一直是医疗管理的长期替代方案。CIED有多种形式,如起搏器、植入式心律转复除颤器和心脏再同步治疗设备。这些设备在建立接近正常的血流动力学和循环方面很有效,最终有助于医生提高患者的生活质量。然而,存在一些可能导致术后并发症的危险因素,包括感染、导线和脉冲发生器并发症、心脏并发症、药物相关并发症以及心理社会并发症。为确保CIED植入的最佳效果,术前需要采取一些措施,如选择合适的候选人并使用适当的设备。本综述旨在强调CIED的手术技术、相关术后并发症以及长期健康影响。

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Cardiac Implantable Electronic Device Therapy in Heart Failure.心力衰竭的心脏植入式电子设备治疗。
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