目的 观察无导线起搏器临床应用的疗效及安全性。方法 回顾性观察2020年1月到2022年4月在中国科学技术大学附属第一医院植入无导线起搏器的22例患者,通过观察术中、术后起搏参数、心电图特点及并发症情况,评估其临床疗效。结果 共22例患者均完成无导线起搏器植入,成功率100%,其中男性17例,年龄14~85岁,随访3~31个月。其中三度房室阻滞8例、二度Ⅱ型房室阻滞2例、高度房室阻滞2例、心房颤动伴长间期2例、病态窦房结综合征5例。其中5例起搏器囊袋感染、1例感染性心内膜炎患者,起搏器装置拔除后再植入无导线起搏器。术者起搏器阈值为:0.68±0.26V/0.24ms,感知为8.67±2.63m V,阻抗为780±154Ω,术后随访3个月感知及阈值均平稳,分别为:0.52±0.32V/0.24ms
10.23±3.13m V
690±112Ω。术前心电图QRS时限78~143ms、电轴-62°~118°,术后心电图QRS时限87-182ms、电轴-70°~70°。术后1例出现腹股沟穿刺点皮下血肿,未见假性动脉瘤和动静脉瘘等其他并发症。结论 无导线起搏器植入成功率高,安全性高,临床疗效确切。
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