Lin L J, Lin J L, Tsai W C, Teng J K, Tsai L M, Chen J H
Department of Internal Medicine, National Cheng-Kung University Hospital, Tainan, Taiwan.
Pacing Clin Electrophysiol. 1998 Feb;21(2):396-400. doi: 10.1111/j.1540-8159.1998.tb00063.x.
In order to assess the incidence of significant venous thrombosis after transvenous permanent pacemaker implantation, transcutaneous ultrasound studies were performed in 109 consecutive patients with single-polyurethane-lead pacemakers. Ultrasonic evaluation was found to be a good noninvasive method in assessing the veins. Six patients (5.5%) were found to have significant venous obstruction in the subclavian vein. However, none of them were symptomatic. No difference in the incidence of venous obstruction was found, based on the age, duration of implantation, operative technique, potentially thrombogenic factors including atrial fibrillation, diabeties mellitus, hypertension, heart failure and end-stage renal disease.
为了评估经静脉植入永久性起搏器后严重静脉血栓形成的发生率，对109例连续植入单聚氨酯导线起搏器的患者进行了经皮超声检查。结果发现超声评估是评估静脉的一种良好的非侵入性方法。6例患者（5.5%）被发现锁骨下静脉有严重的静脉阻塞。然而，他们均无任何症状。基于年龄、植入时间、手术技术、包括房颤、糖尿病、高血压、心力衰竭和终末期肾病等潜在血栓形成因素，未发现静脉阻塞发生率存在差异。
