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激光导线拔除术后上肢症状性深静脉血栓形成。

Symptomatic Upper Extremity Deep Venous Thrombosis After Laser Lead Extraction.

机构信息

Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.

出版信息

Braz J Cardiovasc Surg. 2023 Aug 4;38(5):e20220361. doi: 10.21470/1678-9741-2022-0361.

DOI:10.21470/1678-9741-2022-0361
PMID:37540103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10399234/
Abstract

INTRODUCTION

Laser lead extraction is a well-established method for removing unwanted leads with low morbidity and mortality. In this small series of cases, we documented our experience with venous thrombosis after laser lead extraction.

METHODS

Retrospective data of patients who underwent laser lead extraction with postoperative axillo-subclavian vein thrombosis between May 2010 and January 2020 were analyzed. Demographic, operative, clinical, and follow-up characteristics of those patients were collected from our medical database.

RESULTS

Six patients underwent percutaneous laser lead extraction. Mean age of the patients was 64±7 years. And four of them were male. A total of 11 leads with a mean age of 92±43.8 months were extracted. Patients presented with painful arm swelling postoperatively.

CONCLUSION

Laser lead extraction may lead to symptomatic upper extremity deep venous occlusion.

摘要

简介

激光导线提取术是一种成熟的方法,可用于去除不需要的导线,其发病率和死亡率均较低。在本系列小病例中,我们记录了激光导线提取术后发生静脉血栓形成的经验。

方法

回顾性分析 2010 年 5 月至 2020 年 1 月期间接受激光导线提取术且术后出现腋-锁骨下静脉血栓形成的患者数据。从我们的医疗数据库中收集这些患者的人口统计学、手术、临床和随访特征。

结果

6 名患者接受了经皮激光导线提取术。患者的平均年龄为 64±7 岁,其中 4 名为男性。总共提取了 11 根导线,平均年龄为 92±43.8 个月。术后患者出现手臂肿胀伴疼痛。

结论

激光导线提取术可能导致症状性上肢深静脉闭塞。

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Symptomatic Upper Extremity Deep Venous Thrombosis After Laser Lead Extraction.激光导线拔除术后上肢症状性深静脉血栓形成。
Braz J Cardiovasc Surg. 2023 Aug 4;38(5):e20220361. doi: 10.21470/1678-9741-2022-0361.
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Upper extremity deep venous thrombosis and pulmonary embolism after transvenous lead replacement or upgrade procedures.经静脉导线置换或升级术后的上肢深部静脉血栓形成和肺栓塞。
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2018年欧洲心律协会(EHRA)关于导线拔除的专家共识声明:临床科学研究和注册登记的定义、终点、研究试验设计及数据收集要求的建议:得到亚太心脏节律学会(APHRS)/美国心律学会(HRS)/拉丁美洲心脏节律学会(LAHRS)认可。
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Unrecognized venous injuries after cardiac implantable electronic device transvenous lead extraction.心脏植入式电子设备经静脉导线拔除术后未识别的静脉损伤。
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The European Lead Extraction ConTRolled (ELECTRa) study: a European Heart Rhythm Association (EHRA) Registry of Transvenous Lead Extraction Outcomes.欧洲经皮心脏电生理导线拔除控制(ELECTRa)研究:一项经欧洲心律协会(EHRA)注册的经静脉导线拔除结果研究。
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Access to and clinical use of cardiac implantable electronic devices and interventional electrophysiological procedures in the European Society of Cardiology Countries: 2016 Report from the European Heart Rhythm Association.欧洲心脏病学会成员国心脏植入式电子设备的获取与临床应用以及介入性电生理手术:欧洲心律协会2016年报告
Europace. 2016 Aug;18 Suppl 3:iii1-iii79. doi: 10.1093/europace/euw244.
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Outcome and management of pacemaker-induced superior vena cava syndrome.起搏器所致上腔静脉综合征的结局与处理
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Trends in permanent pacemaker implantation in the United States from 1993 to 2009: increasing complexity of patients and procedures.1993 年至 2009 年美国永久性心脏起搏器植入的趋势:患者和手术的复杂性不断增加。
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Lead extraction in the contemporary setting: the LExICon study: an observational retrospective study of consecutive laser lead extractions.当代环境下的心脏除颤器导线拔除:LExICon 研究:连续激光导线拔除的观察性回顾性研究。
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