目的 观察心律植入装置感染拔除后植入无导线起搏器的临床疗效及安全性。方法 回顾性观察2020年11月至2022年5月,在中国科学技术大学附属第一医院(安徽省立医院)因心律植入装置感染拔除后植入无导线起搏器的患者,分析术中起搏器阈值、感知、阻抗,手术时间、X线曝光时间、曝光量,并发症情况以及随访过程中的临床疗效。结果 共计6例患者,其中男性4例,女性2例,平均年龄71.8岁,其中起搏器囊袋感染5例,感染性心内膜炎1例。其中双腔起搏器5例,单腔起搏器1例,植入起搏器导线4个月到13年不等,共拔除11根电极导线。所有患者均顺利拔除起搏器装置并成功植入无导线起搏器,均植入右室间隔部。术中起搏器参数为:阈值(0.46±0.12)V/0.24ms,感知(8.48±2.46)m V,阻抗(753.3±131.4)Ω,随访3个月起搏器各项参数稳定。拔除及重新植入围手术期及3个月随访过程中,未出现心脏穿孔、静脉血栓、血管损伤、装置功能不良等并发症。结论 心律植入装置感染后拔除再植入无导线起搏器,临床疗效确切,安全性高。
Tay Kokhoon,Chelliah Rajesh,Pathmanathan Ravi.Utilization of leadless pacemaker following transvenous lead extraction: A series of 10 successful cases[J].HeartRhythm Case Reports,2022.
Glikson Michael,Nielsen Jens Cosedis,Kronborg Mads Brix,Michowitz Yoav,Auricchio Angelo,Barbash Israel Moshe,Barrabés José A,Boriani Giuseppe,Braunschweig Frieder,Brignole Michele,Burri Haran,Coats Andrew J S,Deharo Jean-Claude,Delgado Victoria,Diller Gerhard-Paul,Israel Carsten W,Keren Andre,Knops Reinoud E,Kotecha Dipak,Leclercq Christophe,Merkely Béla,Starck Christoph,Thylén Ingela,Tolosana José Maria,ESC Scientific Document Group,Leyva Francisco,Linde Cecilia,Abdelhamid Magdy,Aboyans Victor,Arbelo Elena,Asteggiano Riccardo,Barón-Esquivias Gonzalo,Bauersachs Johann,Biffi Mauro,Birgersdotter-Green Ulrika,Bongiorni Maria Grazia,Borger Michael A,Čelutkienė Jelena,Cikes Maja,Daubert Jean-Claude,Drossart Inga,Ellenbogen Kenneth,Elliott Perry M,Fabritz Larissa,Falk Volkmar,Fauchier Laurent,Fernández-Avilés Francisco,Foldager Dan,Gadler Fredrik,De Vinuesa Pastora Gallego Garcia,Gorenek Bulent,Guerra Jose M,Hermann Haugaa Kristina,Hendriks Jeroen,Kahan Thomas,Katus Hugo A,Konradi Aleksandra,Koskinas Konstantinos C,Law Hannah,Lewis Basil S,Linker Nicholas John,Løchen Maja-Lisa,Lumens Joost,Mascherbauer Julia,Mullens Wilfried,Nagy Klaudia Vivien,Prescott Eva,Raatikainen Pekka,Rakisheva Amina,Reichlin Tobias,Ricci Renato Pietro,Shlyakhto Evgeny,Sitges Marta,Sousa-Uva Miguel,Sutton Richard,Suwalski Piotr,Svendsen Jesper Hastrup,Touyz Rhian M,Van Gelder Isabelle C,Vernooy Kevin,Waltenberger Johannes,Whinnett Zachary,Witte Klaus K,Kronborg Mads Brix,Michowitz Yoav,Auricchio Angelo,Barbash Israel Moshe,Barrabés José A,Boriani Giuseppe,Braunschweig Frieder,Brignole Michele,Burri Haran,Coats Andrew J S,Deharo Jean-Claude,Delgado Victoria,Diller Gerhard-Paul,Israel Carsten W,Keren Andre,Knops Reinoud E,Kotecha Dipak,Leclercq Christophe,Merkely Béla,Starck Christoph,Thylén Ingela,Tolosana José Maria.2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapyDeveloped by the Task Force on cardiac pacing and cardiac resynchronization therapy of the European Society of Cardiology (ESC) With the special contribution of the European Heart Rhythm Association (EHRA)[J].European Heart Journal,2021.
Chang David,Gabriels James K,Soo Kim Beom,Ismail Haisam,Willner Jonathan,Beldner Stuart J,John Roy M,Epstein Laurence M.Concomitant leadless pacemaker implantation and lead extraction during an active infection.[J].Journal of cardiovascular electrophysiology,2020.
El-Chami Mikhael F,Mayotte Jane,Bonner Matt,Holbrook Reece,Stromberg Kurt,Sohail Muhammad Rizwan.Reduced bacterial adhesion with parylene coating: Potential implications for Micra transcatheter pacemakers.[J].Journal of cardiovascular electrophysiology,2020.
Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, 55902, USA.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, 55902, USA.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, 55902, USA.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, 55902, USA.,Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, 55902, USA. ycha@mayo.edu..Nanostim leadless pacemaker retrieval and simultaneous micra leadless pacemaker replacement: a single-center experience.[J].Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing,2020.
Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.,Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.,Department of Cardiovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona, USA..Contemporary management of cardiac implantable electronic device infection.[J].Heart (British Cardiac Society),2019.
Section of Electrophysiology & Pacing, Division of Cardiology, Department of Medicine, Baylor Scott & White Temple Memorial Hospital, Baylor Scott & White Health, Dallas, TX, USA.,Section of Electrophysiology & Pacing, Division of Cardiology, Department of Medicine, Baylor Scott & White Temple Memorial Hospital, Baylor Scott & White Health, Dallas, TX, USA..A Review of Temporary Permanent Pacemakers and a Comparison with Conventional Temporary Pacemakers.[J].The Journal of innovations in cardiac rhythm management,2019.
Fred M. Kusumoto,Mark H. Schoenfeld,Bruce L. Wilkoff,Charles I. Berul,Ulrika M. Birgersdotter-Green,Roger Carrillo,Yong-Mei Cha,Jude Clancy,Jean-Claude Deharo,Kenneth A. Ellenbogen,Derek Exner,Ayman A. Hussein,Charles Kennergren,Andrew Krahn,Richard Lee,Charles J. Love,Ruth A. Madden,Hector Alfredo Mazzetti,JoEllyn Carol Moore,Jeffrey Parsonnet,Kristen K. Patton,Marc A. Rozner,Kimberly A. Selzman,Morio Shoda,Komandoor Srivathsan,Neil F. Strathmore,Charles D. Swerdlow,Christine Tom.2017 HRS expert consensus statement on cardiovascular implantable electronic device lead management and extraction[J].Heart Rhythm,2017.
Tan Eugene M,DeSimone Daniel C,Sohail M Rizwan,Baddour Larry M,Wilson Walter R,Steckelberg James M,Virk Abinash.Outcomes in Patients With Cardiovascular Implantable Electronic Device Infection Managed With Chronic Antibiotic Suppression.[J].Clinical infectious diseases : an official publication of the Infectious Diseases Society of America,2017.
Boyle Thomas A,Uslan Daniel Z,Prutkin Jordan M,Greenspon Arnold J,Baddour Larry M,Danik Stephan B,Tolosana Jose M,Le Katherine,Miro Jose M,Peacock James,Sohail Muhammad R,Vikram Holenarasipur R,Carrillo Roger G.Reimplantation and Repeat Infection After Cardiac-Implantable Electronic Device Infections: Experience From the MEDIC (Multicenter Electrophysiologic Device Infection Cohort) Database.[J].Circulation. Arrhythmia and electrophysiology,2017.
Kypta Alexander,Blessberger Hermann,Kammler Juergen,Lambert Thomas,Lichtenauer Michael,Brandstaetter Walter,Gabriel Michael,Steinwender Clemens.Leadless Cardiac Pacemaker Implantation After Lead Extraction in Patients With Severe Device Infection.[J].Journal of cardiovascular electrophysiology,2016.
Kawata Hiro,Pretorius Victor,Phan Huy,Mulpuru Siva,Gadiyaram Varuna,Patel Jigar,Steltzner Dawna,Krummen David,Feld Gregory,Birgersdotter-Green Ulrika.Utility and safety of temporary pacing using active fixation leads and externalized re-usable permanent pacemakers after lead extraction.[J].Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology,2013.
Ipek Esra Gucuk,Guray Umit,Demirkan Burcu,Guray Yesim,Aksu Tolga.Infections of implantable cardiac rhythm devices: predisposing factors and outcome.[J].Acta cardiologica,2012(3).
Baddour Larry M,Epstein Andrew E,Erickson Christopher C,Knight Bradley P,Levison Matthew E,Lockhart Peter B,Masoudi Frederick A,Okum Eric J,Wilson Walter R,Beerman Lee B,Bolger Ann F,Estes N A Mark,Gewitz Michael,Newburger Jane W,Schron Eleanor B,Taubert Kathryn A.Update on cardiovascular implantable electronic device infections and their management: a scientific statement from the American Heart Association.[J].Circulation,2010.
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