Migliore Federico, Dall'Aglio Pietro, Falzone Pasquale Valerio, Bertaglia Emanuele, Zanon Francesco
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy.
Cardiology Department, Arrhythmia and Electrophysiology Unit, Santa Maria Della Misericordia Hospital, Rovigo, Italy.
Pacing Clin Electrophysiol. 2021 Aug;44(8):1464-1465. doi: 10.1111/pace.14227. Epub 2021 Apr 7.
Permanent His bundle pacing (HBP) has rapidly been adapted into clinical practice in recent years as a physiologic pacing. The 3830 (Medtronic Inc, MN, USA) pacing lead commonly used for HBP is lumenless, and there are limited reports available on extraction of this lead. No data exists on transvenous lead extraction (TLE) of very old HBP lead. Concerns remain about injury to the conduction system during extraction and the lack of lumen for placing a locking stylet for TLE when powered sheaths are required. We reported a unique case of TLE of very old HBP lead (14 years and 3 months) and other two leads, such as passive atrial and passive right ventricular apex backup.
近年来，永久性希氏束起搏（HBP）作为一种生理性起搏方法已迅速应用于临床实践。常用于HBP的3830起搏导线（美敦力公司，明尼苏达州，美国）无内腔，关于这种导线拔除的报道有限。对于非常陈旧的HBP导线经静脉导线拔除（TLE）尚无数据。在拔除过程中对传导系统的损伤以及在需要动力鞘时缺乏用于放置锁定探条进行TLE的内腔，这些问题仍然存在。我们报告了一例非常陈旧的HBP导线（14年零3个月）以及另外两根导线（如被动心房和被动右心室尖部备用导线）经静脉拔除的独特病例。
