Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA.
Section of Cardiac Electrophysiology, Divison of Cardiology, Department of Medicine, Virginia Commonwealth University, Gateway Building, 3rd Floor, 3-216, 1200 East Marshall Street, Richmond, VA 23298, USA; Division of Cardiac Electrophysiology, Central Virginia Veterans Affairs Health System, Richmond, VA, USA. Electronic address: https://twitter.com/JoseFcoHuizar.
Card Electrophysiol Clin. 2024 Dec;16(4):325-338. doi: 10.1016/j.ccep.2024.05.001. Epub 2024 Sep 20.
Transvenous leads continue to be the standard means to deliver bradyarrhythmia and tachyarrhythmia device therapy. Risk factors for cardiac implantable electronic devices (CIED) infection or complications of transvenous lead extraction (TLE) and mortality represent a complex interplay between non-modifiable patient-related factors and actionable implant-related characteristics or adverse events. Careful attention to patient screening, infection mitigation, lead selection, and implant technique may enhance safety of the index procedure and subsequent clinical management.
经静脉导线仍然是提供缓慢性心律失常和快速性心律失常器械治疗的标准方法。心脏植入式电子设备（CIED）感染或经静脉导线拔除（TLE）并发症的危险因素以及死亡率，代表了不可改变的患者相关因素与可操作的植入物相关特征或不良事件之间的复杂相互作用。仔细关注患者筛选、感染缓解、导线选择和植入技术，可能会提高初始手术的安全性和后续临床管理。
