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首例人体外科血管外植入式心律转复除颤器植入术：在与设备相关的心内膜炎后将除颤导线缝合至心脏壁。

First-in-Man Surgical Extravascular-ICD Implantation: Suturing the Defibrillation Lead to the Heart Wall Post Device-Related Endocarditis.

作者信息

Moltrasio Massimo, Biroli Matteo, Schiavone Marco, Naliato Moreno, Zanobini Marco, Tundo Fabrizio, Tondo Claudio, Curnis Antonio

机构信息

Department of Clinical Electrophysiology and Cardiac Pacing, Monzino Cardiology Center, Scientific institute for Research, Hospitalization and Health Care (IRCCS), Milan, Italy.

Postgraduate School of Cardiology, University of Milan, Milan, Italy.

出版信息

JACC Case Rep. 2024 Aug 7;29(15):102424. doi: 10.1016/j.jaccas.2024.102424.

DOI:10.1016/j.jaccas.2024.102424
PMID:39157554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11328789/
Abstract

We present the first worldwide case of a hybrid surgical-percutaneous procedure involving transvenous lead extraction, concomitant tricuspid valve repair, implantation of an atrioventricular (AV) leadless pacemaker, and extravascular implantable cardioverter-defibrillator placement with suturing of the defibrillation lead to the heart wall. Multiple interventions were necessary as a result of active endocarditis, congenital complete AV block, and ventricular arrhythmia secondary prevention.

摘要

我们展示了首例全球范围内的混合外科-经皮手术病例，该手术包括经静脉导线拔除、同期三尖瓣修复、植入房室无导线起搏器以及将除颤导线缝合至心脏壁的血管外植入式心律转复除颤器置入。由于活动性心内膜炎、先天性完全性房室传导阻滞和室性心律失常二级预防，需要进行多次干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/27c64f7c2538/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/87530874d81e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/4595995791fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/887d76e93834/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/c5f515ae39f7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/27c64f7c2538/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/87530874d81e/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/4595995791fb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/887d76e93834/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/c5f515ae39f7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0363/11328789/27c64f7c2538/gr4.jpg

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引用本文的文献

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HeartRhythm Case Rep. 2025 Feb 6;11(5):404-408. doi: 10.1016/j.hrcr.2025.01.020. eCollection 2025 May.

本文引用的文献

1
Outcomes of leadless pacemaker implantation following transvenous lead extraction in high-volume referral centers: Real-world data from a large international registry.高容量转诊中心经静脉导线拔除后无导线起搏器植入的结果：来自大型国际注册机构的真实世界数据。
Heart Rhythm. 2023 Mar;20(3):395-404. doi: 10.1016/j.hrthm.2022.12.002. Epub 2022 Dec 7.
2
Three-year extraction experience of a novel substernal extravascular defibrillation lead in sheep.新型胸骨下血管外除颤电极导线在绵羊体内 3 年的取出经验。
Pacing Clin Electrophysiol. 2022 Mar;45(3):314-322. doi: 10.1111/pace.14451. Epub 2022 Feb 8.
3
Eligibility for subcutaneous implantable cardioverter-defibrillator in adults with congenital heart disease.
先天性心脏病成人患者皮下植入式心脏复律除颤器的适应证
ESC Heart Fail. 2021 Apr;8(2):1502-1508. doi: 10.1002/ehf2.13243. Epub 2021 Feb 3.
4
Combined leadless pacemaker and subcutaneous implantable defibrillator therapy: feasibility, safety, and performance.无导线起搏器与皮下植入式除颤器联合治疗：可行性、安全性及性能
Europace. 2016 Nov;18(11):1740-1747. doi: 10.1093/europace/euv457. Epub 2016 Mar 3.