[主动固定电极的定时刺激。]
[Temporal stimulation by active fixation lead.].
作者信息
Yáñez-Guerrero A Paola, Neac Diego, León-Romero Fernando, Nava Santiago
机构信息
Servicio de Electrofisiología, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
出版信息
Arch Cardiol Mex. 2023 Feb 2;93(1):022-025. doi: 10.24875/ACM.210003071.
OBJECTIVE
To determine the efficacy and safety of temporary pacing with an active fixation lead placed trough the internal jugular vein and/or subclavian vein.
METHODS
We analyzed a consecutive series of 25 out of 73 patients that had a pacemaker extraction and were pacing dependent requiring temporary pacing with an active fixation lead until the new pacemaker implant, from 2017 to 2021.
RESULTS
After extraction 25 patients age 68 years ±16 years, required temporary pacing, the media for temporary pacing was 5 days. There were no mortality associated to temporary stimulation. Only one patient (4%) had a complication 4 days after the implant with capture fail due to a microdislogement requiring reintervention. Conclusion.
CONCLUSION
Temporary stimulation through active fixation pacemaker lead it is safe and effective.
目的
确定经颈内静脉和/或锁骨下静脉置入主动固定导线进行临时起搏的有效性和安全性。
方法
我们分析了2017年至2021年期间73例接受起搏器拔除术且依赖起搏的患者中的连续25例，这些患者在新起搏器植入前需要使用主动固定导线进行临时起搏。
结果
拔除术后，25例年龄为68岁±16岁的患者需要临时起搏，临时起搏的中位时间为5天。没有与临时刺激相关的死亡病例。只有1例患者（4%）在植入后4天出现并发症，因微脱位导致捕获失败，需要再次干预。结论。
结论
通过主动固定起搏器导线进行临时刺激是安全有效的。
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