Kostiainen S, Appelqvist P
Scand J Thorac Cardiovasc Surg. 1977;11(3):233-7.
The clinical experience of a pacemaker material of 71 petients in whom myocardial electrodes were implanted through left parasternal mediastinotomy is presented. The indication for implantation of a myocardial electrode was a complication of the transvenous electrode in 93% of the cases. Minor pulmonary/pleural complications with insignificant sequelae occurred in 18%. Wound infections accompanied by fistulisation as a late complication occurred in 4.2%. There was one (1.4%) postoperative death in hospital. Two patients died later at the end of the first postoperative month of causes not directly associated with surgery. These three patients were over 75 years of age. The material was followed up for an average of 21.5 months. The incidence of fistulisation during the follow-up period was 5.5%/patient-year. One case of breaking of the tip of the myocardial electrode was encountered during the follow-up. The mortality rate for the series was 7%/patient-year.
本文介绍了71例通过左胸骨旁纵隔切开术植入心肌电极的起搏器材料的临床经验。在93%的病例中，植入心肌电极的指征是经静脉电极出现并发症。18%的患者出现轻微的肺部/胸膜并发症，后遗症不明显。4.2%的患者出现伤口感染并伴有瘘管形成这一晚期并发症。有1例（1.4%）患者术后在医院死亡。2例患者在术后第一个月末因与手术无直接关联的原因死亡。这3例患者均超过75岁。该材料平均随访21.5个月。随访期间瘘管形成的发生率为5.5%/患者年。随访期间遇到1例心肌电极尖端断裂的情况。该系列的死亡率为7%/患者年。
