为辐射治疗重叠肺癌的节律器搬迁
Atsuo Mori1, Tohru Kuribayashi2, Hirofumi Haida1
1Cardiovascular Surgery, Kawasaki Municipal Hospital, Kawasaki, JPN.
Cureus
|January 4, 2024
概括
心脏起器 (PM) 搬迁对于需要在设备附近进行肺癌放射治疗的患者来说是一个可行的选择. 这种手术调整使得癌症的成功治疗在不影响PM功能的情况下成为可能.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 医疗器械 医疗器械
背景情况:
- 心脏起器 (PM) 植入在老年患者中很常见,其中一些患者可能会患上胸部恶性瘤.
- 放射治疗是肺癌的首要治疗方法,但由于像PMs这样的植入式电子设备的存在,它可能会变得复杂.
研究的目的:
- 描述一个PM转移为肺癌放射治疗所必需的案例.
- 评估心植入和腹部发电机放置用于PM转移的可行性和安全性.
- 评估放射治疗对转移的PM和瘤反应的影响.
主要方法:
- 患者经历了心脏起器的手术搬迁.
- 在右心室表皮上放置了一根表皮节奏导线.
- 新的起器发生器植入了腹部.
- 患者接受了62 Gy的肺癌放射治疗.
主要成果:
- 在放射治疗期间,起器在没有任何不良事件的情况下运行.
- 在放射治疗后实现了临时瘤缩.
- 搬迁手术和随后的放射治疗被患者容忍.
结论:
- 使用心上带的心脏起器转移手术是一种可行的选择,当肺部瘤重叠设备时.
- 这种技术可以在这样复杂的病例中提供安全有效的放射治疗.
- 仔细规划和手术干预可以减轻与治疗心脏起器患者重叠的恶性瘤相关的风险.
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