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Zaki Akhtar¹, Christos Kontogiannis¹, Ahmed I Elbatran^1,2

¹Department of Cardiology, St George's University Hospital, Blackshaw Road, Tooting, London SW17 0QT, UK.

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

|November 8, 2023

概括

跨静脉取 (TLE) 的Tandem方法是安全有效的,即使是长时间的. 与传统的TLE相比,这种方法提供了潜在的更短的程序持续时间.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
手术手术手术手术手术手术手术手术手术手术

背景情况:

通过静脉取 (TLE) 对于管理心脏植入式电子设备至关重要.
传统的TLE往往使用上层接入,以大腿靠近作为备用.
建议采用Tandem方法,将高级和低级访问相结合,以提高安全性和有效性.

研究的目的:

评估TLE的Tandem方法的安全性和有效性.
为了比较Tandem方法与传统的优越方法.

主要方法:

坦德姆手术涉及从右前庭进行逆向拉动,并从下关节接入处进行剖析.
一个单操作员,单中心研究包括连续的Tandem程序.
倾向性得分匹配被用来比较Tandem案例与传统优越方法对照组.

主要成果:

坦德姆方法成功提取了具有显著更长停留时间的潜在客户 (148.9 vs 108.6 个月).
程序持续时间较短的Tandem方法 (96对127分钟),但需要更多的光镜.
临床成功 (100% vs. 94.7%) 和完全成功 (94.8% vs. 92.8%) 在各组之间相似,并发症和死亡率相似.

结论:

坦德姆程序的安全性和有效性与传统的TLE.LE相美.
这种方法对具有较长停留时间的线索有效,并可能减少程序持续时间.

关键词:

股骨抽取股骨抽取股骨抽取的提取的提取非激光的透静提取方法提取心脏起器的提取方法两者同时使用的方法.通过静脉取的提取方法

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