需要进行除器手术修复的需要长期植入的导线:原因和管理
Jens Eckstein1, Michael T Koller, Markus Zabel
1Division of Cardiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland.
Circulation
|May 21, 2008
概括
植入式心脏转换器-除器 (ICD) 导致故障,在5年内影响2.5%的患者,往往导致不适当的治疗. 修订策略显示类似的复发率,强调需要仔细管理ICD主要问题.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 植入式心脏转换器-除器 (ICD) 导致故障是一种已知的长期并发症.
- 问题可能需要手术干预,并影响设备的有效性.
研究的目的:
- 为了确定ICD导致故障的发生率和原因,需要进行外科修复.
- 评估两种不同的手术方法来治疗功能障碍.
主要方法:
- 在1993年至2004年间植入ICD的1317名患者的回顾性分析.
- 记录导致故障的类型和原因,并记录修改策略.
- 随访以评估功能障碍的复发和患者的结果.
主要成果:
- 需要修改的功能故障的累积发病率在5年后为2.5%.
- 在76%的受影响患者中,功能障碍导致不适当的ICD疗法.
- 与有关的问题的复发率很高 (5年后为20%),无论修订策略如何.
结论:
- 在5年内,ICD领先功能故障是2.5%的接受者的临床显著问题.
- 在某些特定情况下,植入额外的步伐/感觉领先是可行的修订选项.
- 复发性问题在修复手术后明显更常见.
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