新型锁定钢丝拔除心律植入电极导线的初步临床应用

发布时间：2018-04-24 00:36

本文选题：锁定钢丝 + 电极导线　；参考：《中国循环杂志》2017年12期

【摘要】：目的:探讨运用导线锁定钢丝(lead locking device,LLD)这种新型全程锁定钢丝系统拔除心律植入装置电极导线的安全性和有效性。方法:回顾中国医学科学院阜外医院利用LLD拔除电极导线的6例患者资料,总结分析电极导线拔除原因、锁定钢丝锁定导线情况、电极导线拔除结果、手术相关并发症等。结果:6例患者(其中1例女性,中位年龄62.5岁)使用LLD拔除电极导线,共拔除导线13根(1根废弃电极导线和12根有功能电极导线),其中LLD成功放置在11根(85%)电极导线的顶端进行全程锁定,2根(15%)未全程锁定。12根(92%)电极导线完全拔除,1根(8%)部分拔除,无严重并发症发生。结论:LLD这种新型锁定钢丝系统拔除电极导线安全、有效,有利于导线完全拔除。
[Abstract]:Objective: to investigate the safety and effectiveness of a new type of wire lock wire system, lead locking device (LLD), which is used to remove electrode wires from cardiac rhythm implants. Methods: the data of 6 patients in Fuwei Hospital of Chinese Academy of Medical Sciences who removed electrode lead by LLD were reviewed and analyzed. The reasons of electrode wire pulling, locking wire lock wire, the result of electrode wire pulling, and the complications related to operation were summarized and analyzed in Fuwei Hospital of Chinese Academy of Medical Sciences. Results six patients (one female with a median age of 62.5 years) used LLD to remove the electrode lead. A total of 13 wires were pulled out and 12 functional electrode conductors were pulled out. Among them, LLD was successfully placed in 11 wires with 85 electrodes.) the top of the electrode wires was successfully locked in the whole process. 2 wires were locked in the whole course. No serious complications occurred. Conclusion it is safe and effective to pull out the electrode wire by using the new type of lock wire system: 1: LLD, which is beneficial to the complete removal of the wire.
【作者单位】：中国医学科学院北京协和医学院国家心血管病中心阜外医院心律失常中心;
【分类号】：R541.7

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