儿科和先天性心脏病中的心器件和先天性心脏病
Reina Bianca Tan1, Elizabeth A Stephenson2, Anica Bulic2
1Division of Cardiology, Department of Pediatrics, NYU Langone Health and Hassenfeld Children's Hospital, 403 East 34th Street, Level 4, New York, NY 10017, USA.
Cardiac electrophysiology clinics
|October 21, 2023
概括
心脏电子设备的心植入在儿科患者和先天性心脏病患者中很常见. 虽然避免了血管风险,但这种侵入性手术存在功能障碍的风险.
科学领域:
- 心脏病学 心脏病学
- 儿科电子生理学 儿科电子生理学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 心脏植入式电子设备 (CIED) 的心脏上部植入经常用于儿科患者和患有先天性心脏病的个人.
- 这种方法通常是必要的,因为患者的体型,复杂的心脏解剖学,残留心内短路,或之前的手术,违反了透静脉植入.
- 主要优势包括消除血栓栓塞和血管并发症以及在并发的手术过程中植入植入的可行性.
研究的目的:
- 在儿科和先天性心脏病患者群体中审查心上CIED植入的指示,优点和缺点.
- 突出这一患者队列中功能障碍的临床影响.
主要方法:
- 本摘要是基于对目前关于心表CIED植入的文献和临床实践的综述.
- 它综合了有关患者选择,程序益处和潜在并发症的信息.
主要成果:
- 心CIED植入提供了一个可行的替代方案,当通过静脉的方法是不可行的,特别是在儿科和复杂的先天性病例.
- 该程序避免了与输静脉导管相关的风险,如血栓栓塞和血管损伤.
- 然而,功能障碍仍然是一个重大问题,可能导致心脏起发动机接收者和除器患者不适当的冲击.
结论:
- 心CIED植入是特定的儿科和先天性心脏病患者的重要治疗选择.
- 仔细考虑程序效益与功能障碍风险之间的权衡对于最佳的患者管理至关重要.
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