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COVID-19 患者在行经静脉导线/器械(TLE)拔除术后行 CRT 植入:是否由综合征冠状病毒 2(SARS-COV-2)感染引发的心内膜炎?一例报告。

CRT implantation after transvenous lead/device extraction (TLE) in a patient with COVID-19: Endocarditis triggered by syndrome coronavirus 2 (SARS-COV-2) infection? A case report.

机构信息

Electrophysiology and Cardiac Pacing Unit, A.O.R.N, Ospedali dei Colli-Monaldi, Naples, Italy.

Department of Intensive Care Unit, A.O.R.N, Ospedali dei Colli-Cotugno, Naples, Italy.

出版信息

Pacing Clin Electrophysiol. 2022 Jun;45(6):807-810. doi: 10.1111/pace.14218. Epub 2022 Apr 29.

Abstract

In the era of coronavirus disease 2019 (COVID-19), the management of cardiac implantable electronic devices infections with concomitant viral infection has not been completely defined yet. In this explorable context, we report the first experience of a Cardiac resynchronization therapy with defibrillator (CRT-D) implantation after transvenous lead extraction for endocarditis in a COVID-19 patient. We describe both the measures and procedures implemented to reduce the cross-infection in the operating room and our clinical practice to improving procedure effectiveness on patient care.

摘要

在 2019 冠状病毒病(COVID-19)时代,心脏植入式电子设备合并病毒感染的管理尚未完全确定。在这个可探索的背景下,我们报告了首例 COVID-19 患者经心内膜炎经静脉导线拔除后行心脏再同步治疗除颤器(CRT-D)植入的经验。我们描述了为降低手术室交叉感染而实施的措施和程序,以及为提高对患者护理的程序效果而采取的临床实践。

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