Liverpool Heart and Chest Hospital NHS Foundation Trust, Thomas Drive, Liverpool, L14 3PE, UK.
Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Road, Upton, Wirral, CH49 5PE, UK.
Curr Heart Fail Rep. 2022 Oct;19(5):316-324. doi: 10.1007/s11897-022-00563-0. Epub 2022 Aug 6.
Cardiac implantable electronic device implant numbers are continually increasing due to the expanding indications and ageing population. This review explores the complications associated with device therapy and discusses ways to minimise and manage such complications.
Complications related to device therapy contribute to mortality and morbidity. Recent publications have detailed clear guidelines for appropriate cardiac device selection, as well as consensus documents discussing care quality and optimal implantation techniques. There have also been advances in device technologies that may offer alternative options to patients at high risk of/or already having encountered a complication. Adherence to guidelines, appropriate training, and selection of device, in addition to good surgical technique are key in reducing the burden of complications and improving acceptability of device therapy.
由于适应证的不断扩大和人口老龄化，心脏植入式电子设备的植入数量不断增加。本综述探讨了与设备治疗相关的并发症，并讨论了如何尽量减少和管理这些并发症。
与设备治疗相关的并发症导致死亡率和发病率增加。最近的出版物详细说明了适当的心脏设备选择的明确指南，以及讨论护理质量和最佳植入技术的共识文件。设备技术也取得了进展，为高风险/或已经遇到并发症的患者提供了替代选择。此外，遵循指南、适当的培训、设备的选择以及良好的手术技术是减少并发症负担和提高设备治疗可接受性的关键。
