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在同侧慢性阻塞性锁骨下静脉中进行胸骨前隧道植入可植入设备并进行对侧经静脉左心室导线置入。

Contralateral transvenous left ventricular lead placement of an implantable device with pre-sternal tunneling in an ipsilateral chronically obstructed subclavian vein.

作者信息

Antoun Ibrahim, Dardas Sotirios, Mubashwirul Islam, Taher Abu-Tariq, Ahmed Nauman

机构信息

Department of Cardiology Royal Derby Hospital Derby UK.

Department of Cardiovascular Sciences University of Leicester Leicester UK.

出版信息

Clin Case Rep. 2024 Aug 10;12(8):e9321. doi: 10.1002/ccr3.9321. eCollection 2024 Aug.

DOI:10.1002/ccr3.9321
PMID:39130806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11316133/
Abstract

Multiple methods are used to tackle ipsilateral obstructed venous access in patients undergoing a device upgrade by implanting a new left ventricular lead. One feasible solution to tackle this is implantation of the upgrade lead contralaterally with pre-sternal tunnelization to the opposite side under conscious sedation.

摘要

在通过植入新的左心室导线进行设备升级的患者中，采用多种方法来解决同侧静脉通路受阻的问题。解决这一问题的一种可行方案是在清醒镇静下，通过胸骨前隧道将升级导线植入对侧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/4d6d08515c4b/CCR3-12-e9321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/2ce21b25d931/CCR3-12-e9321-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/93c9866b779b/CCR3-12-e9321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/4d6d08515c4b/CCR3-12-e9321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/2ce21b25d931/CCR3-12-e9321-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/93c9866b779b/CCR3-12-e9321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5783/11316133/4d6d08515c4b/CCR3-12-e9321-g002.jpg

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Contralateral transvenous left ventricular lead placement of an implantable device with pre-sternal tunneling in an ipsilateral chronically obstructed subclavian vein.在同侧慢性阻塞性锁骨下静脉中进行胸骨前隧道植入可植入设备并进行对侧经静脉左心室导线置入。
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Contralateral transvenous left ventricular lead placement of implantable devices with pre-sternal tunnelling in chronically obstructed subclavian veins.在慢性阻塞性锁骨下静脉中，通过胸骨前隧道进行植入式装置的对侧经静脉左心室导线置入。
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本文引用的文献

1
2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronisation Therapy.2021年欧洲心脏病学会心脏起搏与心脏再同步治疗指南。
Eur Cardiol. 2021 Dec 14;16:e55. doi: 10.15420/ecr.2021.51. eCollection 2021 Feb.
2
Contralateral transvenous left ventricular lead placement of implantable devices with pre-sternal tunnelling in chronically obstructed subclavian veins.在慢性阻塞性锁骨下静脉中，通过胸骨前隧道进行植入式装置的对侧经静脉左心室导线置入。
Indian Pacing Electrophysiol J. 2015 Jul 29;15(2):113-7. doi: 10.1016/j.ipej.2015.07.007. eCollection 2015 Mar-Apr.
3
Acute and long-term feasibility of contralateral transvenous lead placement with subcutaneous, pre-sternal tunnelling in patients with chronically implanted rhythm devices.
经皮下胸骨前隧道行对侧心内膜导线植入术治疗慢性植入心律转复除颤器患者的近期和远期可行性。
Europace. 2011 Jul;13(7):1004-8. doi: 10.1093/europace/eur072. Epub 2011 Mar 31.
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Supraclavicular vein approach to overcoming ipsilateral chronic subclavian vein obstruction during pacemaker-ICD lead revision or upgrading.锁骨下静脉入路在心脏起搏器-ICD 导线修复或升级时克服同侧慢性锁骨下静脉阻塞。
Europace. 2010 Nov;12(11):1596-9. doi: 10.1093/europace/euq314. Epub 2010 Aug 26.
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Nontraditional surgical approaches for implantation of pacemaker and cardioverter defibrillator systems in patients with limited venous access.静脉通路有限的患者植入起搏器和心脏复律除颤器系统的非传统手术方法。
Ann Thorac Surg. 2009 Jul;88(1):112-6. doi: 10.1016/j.athoracsur.2009.04.006.
6
The innominate vein as alternative venous access for complicated implantable cardioverter defibrillator revisions.无名静脉作为复杂植入式心脏复律除颤器翻修术的替代静脉通路。
Pacing Clin Electrophysiol. 2007 Aug;30(8):957-60. doi: 10.1111/j.1540-8159.2007.00792.x.
7
Predictors of venous obstruction following pacemaker or implantable cardioverter-defibrillator implantation: a contrast venographic study on 100 patients admitted for generator change, lead revision, or device upgrade.起搏器或植入式心脏复律除颤器植入术后静脉阻塞的预测因素：一项对100例因更换发生器、导线修复或设备升级而入院患者的静脉造影对比研究。
Europace. 2007 May;9(5):328-32. doi: 10.1093/europace/eum019. Epub 2007 Mar 16.
8
Upgrading patients with chronic defibrillator leads to a biventricular system and reducing patient risk: contralateral LV lead placement.
Pacing Clin Electrophysiol. 2006 Sep;29(9):1025-7. doi: 10.1111/j.1540-8159.2006.00482.x.
9
Transvenous pacemaker insertion ipsilateral to chronic subclavian vein obstruction: an operative technique for children and adults.经静脉起搏器植入于慢性锁骨下静脉梗阻同侧：儿童及成人的手术技术
Pacing Clin Electrophysiol. 2000 Nov;23(11 Pt 1):1585-93. doi: 10.1046/j.1460-9592.2000.01585.x.
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Exchange of pacing or defibrillator leads following laser sheath extraction of non-functional leads in patients with ipsilateral obstructed venous access.在同侧静脉通路受阻的患者中，经激光鞘管取出无功能电极导线后更换起搏或除颤电极导线。
Heart. 2000 Jun;83(6):E12. doi: 10.1136/heart.83.6.e12.